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Understanding that high B12 serves primarily as a biochemical marker prompting further investigation is essential for appropriate clinical management and identifying potentially significant underlying pathology

Other symptoms of vitamin B12 deficiency Other symptoms of the condition are listed by Bupa as: Feeling very tired Breathlessness even after a little exercise Heart palpitations Headaches A reduced appetite A sore mouth and tongue The health organisation adds: If you have vitamin B12-deficiency anaemia, you may also look pale or jaundiced (have a yellowy tinge to your skin and the whites of your eyes)

Different mechanisms, complementary effects

(For example, taking large amounts of folic acid has been found to mask vitamin B12 deficiency in some patients.) What Are B12 Shots

What Are the Side Effects of B12 Shots vs IV Infusions