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Having low iron can mask overt CBC signals that would cause a doctor to check your B12--low iron usually means you have small red blood cells while low B12 usually has larger than normal red blood cells (low MCV and high MCV). Therefore an iron def. might cause the MCV to look normal, masking the B12 def. Also, serum B12 isn't a good indicator of status, AND the US's "low" is WAY too low. Anything below 550 is considered low in Japan and Europe.

"Repairing" from a B12 def. also draws on iron stores (increasing the need for iron) and potassium.

Even if your doc doesn't check for B12, you could safely take daily sublingual B12 (I'd recommend one or both of the 2 co-enzyme forms that the body actually uses--methylcobalamin and Dibencozide, aka adenosylcobalamin, in doses of AT LEAST 1000 mcg). Just know that after you start supplementing, and further testing for B12 would be skewed.

Tab





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