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Research in 2022 concluded that high B12 in cancer patients is often an epiphenomenon

But certain red flags make it especially important to get help from a clinician

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Deficiency In healthy adults, overt vitamin B 12 deficiency is uncommon, mainly because total body stores can exceed 2,500 g, daily turnover is slow, and dietary intake of only 2.4 g/day is sufficient to maintain adequate vitamin B 12 status (see The RDA) (4)
