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The full blood count test will also include a level called the mean cell volume (MCV), which is raised with vitamin B12 deficiency but also in some other conditions

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According to Aesthetics Park Avenue, my local med spa (more about them here) the lack of vitamin B12 can make you nauseous

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Furthermore, certain medications, like proton pump inhibitors for acid reflux, metformin for diabetes, and some medications for peptic ulcers or heartburn, can impair your bodys ability to process Vitamin B12