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Its also important to keep getting lab tests while taking B12 supplements for a long time
For some, statistically defined reference limits are used, whereas for others "true" cutoffs" based on a known relationship between the B12 biomarker and low body stores, functional impairment, or clinical signs of deficiency, are applied

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Nutritional imbalances, particularly deficiencies in vitamins B12, E, or B6, as well as alcohol-induced neuropathy, are also common causes

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