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(1;2) For those with deficiency, the dose of vitamin B12 required varies by severity

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Which tells you something that reframes the entire condition: in the United States, deficiency is usually an absorption problem, not an eating problem

Contact your GP if B12 is significantly elevated without obvious explanation, remains high on repeat testing, or if you experience unexplained symptoms such as weight loss, persistent fatigue, night sweats, unusual bruising, or signs of liver disease