Your deficiency is moderate to severe, causing significant symptoms like anemia or neurological problems
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avoid in deliberate immunosuppression, severe autoimmune diseases, hypersensitivity, pregnancy/breastfeeding, or advanced liver/kidney impairment
Also on average, overweight people are less healthy than people of a healthy weight
I would recommend lipotropic B12 injection
Also - all the guidelines state that once B12 therapy has commenced, B12 serum levels are meaningless in terms of evaluating clinical efficacy (as you say, they'll always be high because of the injections)