Vitamin B 12 (cobalamin) deficiency is a common cause of megaloblastic anemia, a variety of neuropsychiatric symptoms, and elevated serum homocysteine levels, especially in older persons. There are a number of risk factors for vitamin B 12 deficiency, including prolonged use of metformin and proton pump inhibitors.n asymptomatic patients with low-normal levels of vitamin B 12 (200 to 350 pg per mL [147.56 to 258.23 pmol per L]), elevated levels of the precursor compounds homocysteine and methylmalonic acid may prompt a decision to supplement patients with vitamin B 12. 5.
A ham sandwich made with two slices of whole wheat bread, two slices of ham and one leaf of iceberg lettuce contains 220 calories.
Calories In Ham and Cheese Sandwich Calories: 514, Fat: 22g, Carbs: 56g, Protein: 26g, Fiber: 6g. Calories In Ham and Cheese Sandwich Calories: 361, Fat: 19g, Carbs: 26g, Protein: 23g, Fiber: 3g. Calories In Jays ham and cheese sandwich Calories: 300, Fat: 12g, Carbs: 26g, Protein: 27g, Fiber: 1g. Calories In Gene's Ham and cheese sandwich Calories: 161, Fat: 2g, Carbs: 22g, Protein: 15g, Fiber: 5g.