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Mannitol and carboxymethyl cellulose are common additives that may cause acute reactions

Diagnosis usually entails measuring serum levels of vitamin B12 or identifying elevated levels of methylmalonic acid and homocysteine

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High-dose oral B12 can even help overcome mild absorption problems, as some of the vitamin is absorbed passively

Improved Metabolism Vitamin B12 plays a key role in how the body converts food into usable energy