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The same applies if your elevated B12 is accompanied by abnormal results on other labs (liver enzymes, kidney markers, CBC), or by symptoms like unexplained weight loss, persistent fatigue, abdominal pain, or easy bruising

Interestingly, while you absorb 40 to 50 per cent of vitamin B12 from foods, including fortified foods, the absorption from supplements depends on the dose (EFSA, 2015

Nothing I've read or the neurologist I saw read has convinced me oral b12 works as well for most people with PA or another absorbtion problem

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Typically, you'll receive injections containing 1000-2500 mcg of B12 combined with lipotropic compounds like methionine, inositol, and choline