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In short, color cannot replace laboratory testing

[36] [37] [38] A long-term study where vitamin B 12 was supplemented across a period of 10 years, led to lower levels of weight gain in overweight or obese individuals (p 20% of elderly individuals showed evidence of marginal vitamin B 12 depletion (serum vitamin B 12 : 148221 pmol/L)

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(PubMed) McEvoy CT, Shorey-Kendrick LE, Milner K, et al

A case of vitamin B 12 deficiency with neurological complications has been reported after gastroplasty [57]