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Conclusion Whilst severe B12 deficiency has a clear clinical picture with characteristic haematological and/or neurological features, establishing mild or borderline deficiency can be problematic as serum levels are maintained at the expense of tissue concentrations, and therefore serum levels of B12 may be in the low normal or borderline range despite a deficiency

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Some estimates suggest that as many as one in five older individuals are deficient in vitamin B12

Many people do both, but it is worth a quick chat with your provider first

Cyanocobalamin is a man-made Vitamin B12