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In most cases, yes

Incidentally, the healthy reference range is 191-663 pg/ml and correlates closely with oral cobalamin intake, which is why the vitamin B12 blood level alone is not an adequate parameter to diagnose a deficiency (Herrmann and Obeid, 2014)

2 each from India, Israel and Netherlands and 1 each from Greece, Spain, Switzerland, Brazil, New Zealand and Korea)

Think about it: when you're lacking enough B12, your body can't efficiently produce red blood cells, which are vital for carrying oxygen throughout your body

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TB-4 is on the prohibited list