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The condition can also be caused by a weakened stomach lining

High serum B12 with functional deficiency or discordant symptoms A high total B12 can coexist with a cellular shortage of the vitamin

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Results in research may vary

The daily therapeutic dose varies from 250 to 1000 micrograms per day

Putting it together: realistic guidance If you suspect deficiency because of fatigue, unintentional weight loss, or anemia, get tested and follow evidence-based replacement if indicated