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Step 5 If Youre Concerned About B12 Kidney Damage, Prioritize Kidney-Specific Context If kidney health is a specific worry, ask targeted questions: " Does B12 affect kidney function given my latest lab results?" and "Could my symptoms be from something else entirely?" If you have kidney disease, this conversation is mandatory with your care team

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Why long-term metformin can lower your B12 Metformin changes how your small intestine absorbs B12 from food

(6) Note that there is no official Upper Level for B12 due to its low toxicity, and the fact that any excess is removed in urine