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If you feel unwell alongside a high result, the symptoms are much more likely to come from whatever caused the elevation, such as liver disease or a blood disorder, than from the vitamin
The Effects of Proton Pump Inhibitors in Acid Hypersecretion-Induced Vitamin B12 Deficiency: A Systematic Review (2022)
doi:10.1007/BF01709274
This is particularly useful for people with slow metabolic rates due to age, hormonal changes, and/or a sedentary lifestyle
Like other vitamins, the goal is to balance vitamin B12
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