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So, you measure a higher B12, but part of that B12 is inactive, so useless Oral B12 supplementation, even in the form of a multivitamin preparation, may result in serum B12 concentrations just within the normal range without abolishing symptoms
Fatigue was also the second most commonly reported symptom overall, but has met relatively few reporting thresholds in existing trials
N Engl J Med 2002
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