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In the United States (U.S.), it is now thought that around 40% of the population are currently diagnosed with vitamin B-12 deficiency

The bottom line A high serum vitamin B12 is usually explained by something the patient took or was given

Enhancing NAD+ salvage metabolism is neuroprotective in a PINK1 model of Parkinsons disease

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Severe deficiency or malabsorption: Injections may be needed If you have pernicious anemia, a history of gastric bypass, or trouble absorbing B12 due to chronic digestive issues, injections are often the most reliable option