Conditions such as Crohns disease or Celiac disease can inflame the gut lining, making it difficult for the small intestine to absorb B12 efficiently
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In this situation, it can be challenging to demonstrate B12 deficiency even when there are typical symptoms (including neuropathy-like paraesthesia and numbness), as serum B12 concentrations may be just within, or sometimes above, the normal range due to the oral supplementation
Its the smoking gun, giving a clear diagnosis even if your B12 level looks okay on paper
Kingdom providers focus on appropriate use, periodic reassessment, and long-term health not unnecessary dependence
A toxic dose has never been recorded