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Make sure to include these in your meals for adequate levels of vitamin D and B12: High in B12: Beef liver Shellfish (e.g., clams and crab) Salmon and tuna Ground beef Dairy products such as milk, yogurt, and cheese Fortified plant-based milk or cereals High in Vitamin D: Salmon Freshwater trout Sardines Mushrooms exposed to sunlight Fortified milk and cereals When to See a Doctor If you experience persistent symptoms of deficiency or are unsure about your nutrient needs, consult a healthcare provider

First, deficiency is common in gut disease chronic enteropathy and exocrine pancreatic insufficiency impair absorption, so cobalamin must be replaced

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Its also important to note that some drugs can affect the absorption of cobalamin, including neomycin, potassium chloride, para-aminosalicylic acid, and colchicine