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High vitamin B12 levels can indicate health issues but might not always be serious

Poor absorption can also contribute to deficiency and may occur with digestive conditions such as inflammatory bowel disease, irritable bowel syndrome or coeliac disease

Summary Cyanocobalamin and methylcobalamin are both effective forms of vitamin B12 used to support healthy levels and prevent deficiency

B12 levels and symptoms should be reassessed every 36 months, then yearly

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Gentle warming in your hands for a few minutes is acceptable