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If youre eating a balanced and healthy diet you should be able to get enough of the vitamin from your food

Ideal Sources of Vitamin B12 In accordance with the National Institute of Health, 2 steps are needed for the body to take in vitamin B12 from foods and experience the vitamin B12 benefits

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This may be due to liver or kidney disease, or certain cancers and blood disorders: The aetiological profile of high serum cobalamin predominantly encompasses severe disease entities for which early diagnosis is critical for prognosis