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These include vitamin B12 deficiency and malabsorption that is caused by the following medical conditions, according to the NIH [1]: Pernicious anemia Tropical sprue Pancreatic insufficiency Surgery in the gastrointestinal tract Certain medications Deficiency in the diet Side effects of B-12 injections Also, according to the NIH, vitamin B-12 injections have some potential side effects, including [1]: Diarrhea Itching Swelling Risk of allergic reaction and anaphylaxis Can Vitamins Aid in Weight Loss

W.et al (2017)

The normal range for Vitamin B12 levels in the blood is typically between 200 and 900 pg/mL (or 148 to 664 pmol/L)

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Signs of vitamin B12 deficiency B12 is water soluble and only stays in the body for a limited time