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& Marais, L

The B12 deficiency itself getting worse, either because not enough unhealthy red blood cells have expired and been replaced by healthy ones (each one of them has a 90 day life-cycle), or because the B12 wasnt injected on a daily schedule

doi: 10.3390/cancers16081464 2 Azagra-BoronatI.Massot-CladeraM.KnippingK.GarssenJ.Ben AmorK.KnolJ.et al

Normal B12 Levels If your levels fall within the vitamin B12 test normal range, no further action may be necessary unless you are experiencing unexplained symptoms, in which case further testing may be warranted (e.g., checking methylmalonic acid or homocysteine levels)