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.
Here are the foods from our food nutrition database that were used for the nutrition calculations of this recipe. Calories per serving of Ham and Salami sandwich. 255 calories of Bread, whole wheat (including toast) prepared from recipe, (2 slice) 155 calories of Ham, regular (11% fat), (3 slice (6-1/4 x 4 x 1/16))