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This does not mean B12 is automatically forbiddendeficiency is also common and harmful in CKD

Interpreting Your Vitamin B12 Test Results Normal reference ranges for vitamin B12 can vary slightly between labs, but generally: Normal : 200-900 pg/mL Borderline : 200-300 pg/mL (often requires further investigation or clinical correlation) Deficient : 200 pg/mL If your levels are low, your doctor will discuss treatment options, which may include dietary changes, oral supplements, or injections

Lastly, the liver converts B12 to the active forms adenosylcobalamin and methylcobalamin for utilization' (Pacholok, 2013) A deficiency of intrinsic factor, which is required for vitamin B12 to be absorbed in the intestines is a common reason vitamin B12 from food is not absorbed very well

The exact dosage ultimately depends on the ingredients in the injection

Others experience gradual improvement over one to two weeks