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Many do well on oral supplements, but someone who is already symptomatic and confirmed low may recover faster with injections before switching to oral maintenance
The following mechanisms are responsible for high vitamin B12 blood values in such diseases: Overproduction of haptocorrin Mistaken excretion of vitamin B12 Release of large quantities of B12 from the bodys store in the liver Production of B12 analogues through bacterial overgrowth Below is a list of the most common diseases associated with very high vitamin B12 blood levels
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