Serum B12 alone can be misleading, while methylmalonic acid levels offer a more accurate assessment of whether the body is utilizing available B12
[1] However, because B12 is water-soluble, the body typically eliminates excess amounts through renal excretion without adverse effects
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A lack of vitamin B12 can cause health problems like fatigue and a type of anemia called megaloblastic anemia, where the body makes unhealthy red blood cells that cant carry enough oxygen
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