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3 The UK National Institute for Health and Care Excellence (NICE) states that a cut-off of 200 ng/l identifies 97% of people with B12 deficiency, and a level below 100 ng/l is usually accompanied by metabolic or clinical evidence of B12 deficiency

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vegans, elderly) are suggestive of subclinical deficiency, and with borderline or low normal serum B12 when confirming a deficiency through numerous tests is not possible

Food and environmental allergies will often respond to therapeutic interventions beyond mere B12 administration

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