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Several coexisting conditions may falsely lower serum B 12 levels, including oral contraceptive use, multiple myeloma, pregnancy, and folate deficiency

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This makes sense physiologically

Both forms of B12 help treat: Vitamin B12 deficiency: A deficiency develops if you don't get enough B12 in your diet or can't absorb it

76 Additionally, excessive GSH may alter bacterial intracellular redox homeostasis, which paradoxically leads to increased production of ROS and causes oxidative damage

[DOI] [PMC free article] [PubMed] [Google Scholar] 3.Pickart L, Vasquez-Soltero JM, & Margolina A