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Unexpectedly high B12 levels without supplementation warrant GP review as they may indicate underlying liver disease, kidney disease, or blood disorders

For a non-dietary cause, maintenance is usually one injection every two to three months for life

Managing gastrointestinal disorders such as atrophic gastritis or celiac disease can improve B12 absorption

Many people choose a third option: Patient-friendly infusion centers that offer a personalized, comfortable and convenient alternative

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