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Results between 150250 pmol/L may indicate borderline deficiency requiring additional tests such as methylmalonic acid or homocysteine
Maibach, H.I
The medication further slows gastric emptying, which could exacerbate pre-existing motility issues
Summary: Excessive vitamin B12 intake rarely causes toxicity, but very high levels from supplements or injections may be associated with skin reactions such as acne-like eruptions, though serious adverse effects remain exceptionally uncommon
