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It's because elevated B12 levels on a lab test tend to be regarded by healthcare providers with concern
"Cobalamin metabolism and its clinical aspects" (PDF)
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aim for at least 23 liters of water daily and monitor for signs of dehydration or electrolyte imbalance
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However, the assays fail to detect deficiency in older patients, even when it is severe enough to precipitate neuropsychiatric disease
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