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However, extremely high levels may indicate an underlying condition such as liver disease, kidney disease, or certain types of cancer

Commonly, it occurs following a bout of acute pancreatitis

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Here are the cheapest options we found: Lower dose vitamin B12 tablets (10mcg) Vitamin Store Vitamin B12 (2 for 180 tablets) at Savers and Wilko = 1p per daily dose Superdrug Energy vitamin B12 (2.99 for 60 tablets, 5p per tablet, Superdrug) = 5p per daily dose Boots Vitamin B12 (3.20 for 60 tablets, 5p per tablet, Boots) = 5p per daily dose There is also a spray which gives 10mcg per two sprays (VitSpritz vitamin B12 oral spray, 9.95 for 30ml, Sainsbury's) but it costs more per dose = 8.6p per daily dose Higher dose vitamin B12 (1200mcg) Many of these are spray formats: Better You B12 Boost oral spray 1200mcg (9.90 for 25ml, Tesco) Four sprays gives 1200mcg of B12 = 20p per daily dose