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However, researchers do not know if the effects of obesity can cause a reduction in B12 levels or if reduced B12 levels may be a contributing factor to obesity

Maintenance phase: Once your levels are healthy and symptoms improve, we move to a maintenance schedule, which might be a monthly shot or a return to high-dose oral supplements if your absorption allows

Elevated levels of B12 could be indicative of certain health concerns, Vettel says, including: Cancer Diabetes Impaired kidney function Liver disease If you have elevated levels of B12, your doctor may run other tests to determine the underlying cause

In most other cases a dose of 250 mcg/day may be used

Here are some practical tips to help you balance your vitamin B12 intake

What Is Your Diet Like