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These are indications that your B12 is working

Closes the cortisol and nervous-system pathway that keeps the flushing going (HPA-axis pattern)

That said, the components, the vitamins themselves, are well studied, and compounders must adhere to strict quality standards

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Clinical laboratories generally define vitamin B12 deficiency as a serum level below 148 pmol/L (approximately 200 pg/mL)

Complete Blood Counts (CBC) and reticulocyte counts help us see if the vitamin B12 is helping