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For example, antibiotics such as gentamicin, the antifungal amphotericin B, corticosteroids including prednisone, antacids, and insulin may reduce magnesium levels in the body when combined

Some autoimmune diseases can affect B12 metabolism or produce antibodies that interfere with B12 assays, potentially leading to falsely elevated readings

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One study by Tufts University found that nearly 40% of American adults have a B12 deficiency, and some doctors believe the rate to be higher

There are also methylmalonic acid (MMA) tests that provide a more complete analysis of the vitamin B12 available in your body