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It can mean more binding protein in circulation, vitamin released from injured cells, reduced clearance by the liver or kidneys, recent intake, or analytical interference, where the measured value does not accurately reflect the true B12 status

Oral supplements and oral vitamin B12 are also effective methods of supplementation

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The clinical presentations of B 12 deficiency include megaloblastic anemia and neurological deficits

Skin may look normal or slightly ashen, and arterial oxygen saturation may be normal