Why Vitamin B12 Deficiency Is Often Missed in Aging Adults Vitamin B12 deficiency is often missed because the symptoms fatigue, anemia, neuropathy, memory problems, or walking difficulties are quite common in older adults, and can easily be caused by something else
Johns Wort can accelerate clearance and diminish efficacy, whereas inhibitors like ketoconazole, clarithromycin, certain protease inhibitors, or excessive grapefruit intake may elevate serum estradiol and increase adverse-event risk
Before using this medication, a health care professional will provide detailed instructions for appropriate use of this medicine
Retrieved 16 February 2022
These elevated levels reflect successful absorption and distribution of the vitamin into the bloodstream, where it can be utilized by tissues (source: National Institutes of Health)