( We estimate the effects of the individual policy changes by estimating payments per service, while holding all other payment policies constant
Symptoms of deficiency can vary from person to person, but may include impaired brain function, tiredness and lack of energy, breathlessness and fatigue, headaches, pale skin, heart palpitations, loss of appetite and weight loss, anxiety and depression
If you have MTHFR gene mutations (common in thyroid patients), cyanocobalamin may be particularly ineffective for you, making methylcobalamin even more important
Certain populations face higher deficiency risk: vegetarians and vegans (B12 is primarily found in animal products), adults over 50 (decreased stomach acid reduces B12 absorption), individuals with digestive disorders like Crohn's disease or celiac disease, and those taking medications like metformin or proton pump inhibitors