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Description
In these conditions, although total serum vitamin B12 concentrations may appear elevated or apparently normal, tissue vitamin B12 concentrations will be low (Arendt & Nexo, 2012)
Keep in mind that B12 injections reliably help people who are genuinely deficient, so the first step is confirming your levels with a provider
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Caution in renal impairment (reduced excretion) 3
Lets walk through a couple of common scenarios
We dont just manage symptoms
