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It is therefore possible to be B12 deficient despite having high B12 blood levels for example, if the vitamin cannot correctly bind to transport molecules (6)

Vitamin B12 (cobalamin) is an essential water-soluble vitamin crucial for red blood cell formation, neurological function, and cellular energy production

If density declines significantly, interventions include calcium and vitamin D optimization, weight-bearing exercise, and sometimes pharmacologic therapy

The appropriate choice depends on individual health goals, risk factors, contraindications, and preferences regarding the balance between potential benefits and side effect profiles
