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[4] Clinical assessment should focus on identifying the cause of elevated levels rather than assuming toxicity from supplementation alone
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Even moderate alcohol consumption can decrease vitamin B12 absorption by about 5-6% Symptoms of Vitamin B12 Deficiency Historical records suggest that Grigori Rasputin suffered from a vitamin B12 deficiency
It should be stored in a dark, dry place below 25C and kept away from any moisture or excessive heat
[10] [11] Intramuscular B12 injections (hydroxocobalamin or cyanocobalamin) bypass the digestive system, but UK product information (SmPCs) for hydroxocobalamin injections does list gastrointestinal disturbances, including diarrhoea, as possible adverse reactions, albeit rare
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