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It is best to take it on an empty stomach, at least 30 minutes before or 2 hours after a meal.

Patients with B12 levels below 200 pg/mL are considered deficient

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Hypercobalaminemia, a phenomenon where the vitamin B12 levels in an individuals body are elevated, can occur due to various underlying factors such as: Liver disease Kidney disease Leukemia Myeloproliferative disorders What Medical Conditions Can Cause Low Vitamin B12 Levels

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