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doi: 10.1016/j.annemergmed.2016.09.034

However, markedly elevated levels without supplementation may warrant GP review to exclude underlying conditions such as haematological disorders, liver disease, or renal impairment

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45 : 11401146 Cutler RG

Reduced signs of aging

But B12 seems to be lost in modern, high-speed farming methods, so there appears to be a lot less B12 in meat and dairy than there used to be, resulting in a lot more people with B12 deficiency
