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Healthcare providers will usually do blood tests to check for B12 deficiency in people who have a high risk of developing it

Coeliacs or other autoimmune condition sufferers Some pre-existing health conditions, including autoimmune diseases like coeliac disease, autoimmune gastritis, thyroid disease and type 1 diabetes where the body's immune system attacks its own tissues, can increase B12 deficiency risk

However, several things can inhibit the secretion of intrinsic factors, which in turn decreases the absorption of B12 by around half per dose, regardless of how high the overall dosage level is given