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For example, B12 is generally listed as methylcobalamin, cyanocobalamin, adenosylcobalamin, or hydroxocobalamin rather than just cobalamin. How to Get More B Vitamins Low B-vitamin levels can result from several conditions or lifestyle factors, such as digestive disorders, certain medications, alcohol consumption, or a plant-based diet

Severe metabolic and endocrine disturbances such as hypocalcemia, hypomagnesemia, hypoglycemia, hypothyroidism, and uroparesis, can also occur in a small number of patients [24, 26]