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It is a water-soluble vitamin, meaning excess will be flushed out in the urine

Keeping a symptom diary noting when you take B12 and when breakouts occur can help your GP assess whether there is a temporal relationship

The combination of hyperpigmentation, macrocytic hyperchromic anemia, pancytopenia, and low Vitamin B12 levels was indicative of megaloblastic anemia secondary to Vitamin B12 deficiency