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There is no published human cycling RCT

Elevated serum B12 levels (hypercobalaminaemia) detected on blood tests may indicate underlying conditions such as liver disease, kidney dysfunction, or myeloproliferative disorders rather than representing a direct cause of symptoms

But remember that symptoms of B12 deficiency can be similar to signs of many other illnesses

It has been estimated that about 90% of vegetarians and vegans may suffer such a deficiency

While bacteriostatic water is one of the most common options, some protocols may instead call for sterile water for injection or specialized laboratory buffers

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