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If a person has both low b12 and low iron then their red blood cells may appear to be normal sized with normal range MCV and MCH due to the effects of the iron deficiency masking the effects of the B12 deficiency

Older people often have success with the injections, as do people who are smokers

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B12 does not stack: once your blood level is in the normal range, extra B12 is simply passed out in your urine rather than converted into more energy