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Chronic treatment should be with an oral B 12preparation

By sticking to this treatment plan, doctors can manage Vitamin B12 deficiency well

Many people will claim that B12 can be obtained naturally through plant-based foods like seaweed, Blue-Green Algae, tempeh, etc., but most of these sources contain B12 analogues, which actually interfere with true B12 absorption (SOURCE)

(2020, July 16)

We will need to know if you have a fork lift or dock

If results remain unexplained, particularly with very high levels, further investigation may include imaging or haematology referral depending on clinical context and associated abnormalities