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B12 deficiency can be caused for a variety of reasons---not just autoimmune perncious anemia. Other causes of B12 deficiency can be from the following: diet, specific drugs (PPI, H-2 blockers, alcohol abuse, nitrous oxide, antacids, metformin, etc.),

You may want to get tested for Celiac disease (this also runs ion families), this can cause malabsorption of iron and sometimes B-12. I have heard that malabsorption of B-12 in this case is in more severe cases. I don't know how common it is. but it's an idea. You can have symptoms of B-12 between 400-500 with this deficiency.

We also think that ferritin does have symptoms although I cannopt prove it. Many people here agree.

Malabsoprtion syndromes (celiac disease [gluten enteropathy], Crohn's disease, H.pylori, bacterial overgrowth of the small bowel, transcobalamin II deficiency, inborn error of B12 metabolism, surgical (gastric bypass, stomach or small bowel removed because of cancer, injury, ulcers, etc.), radiation therapy to ileum or stomach, pelvic region.

I would recommend seeing a good GI doc that can DX different reasons and find a cause for low iron/ferritin/B-12. A hematologsit doesn't seem to help near as much as one that deals with these issues day to day.

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