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However, B12 levels can rise regardless of whether treatment is effective

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Protein & Lipid synthesis Nerve cell maintenance & nerve sheath(myelin) maintenance Maintaining growth Methylations Brain function maintenance Choline synthesis Maintains epithelial & mucous membrane cells Maintains normal bone marrow Maintains normal gastrointestinal tract Symptoms of Vitamin B12 Deficiency Early symptoms of a B12 deficiency may be overlooked, diagnosed as another illness, or attributed to just getting older because many of them mimic classic signs of aging

Laboratory analysis using HPLC (high-performance liquid chromatography) is the only reliable method, and you do not have one in your kitchen