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Injections can rapidly increase B12 levels, making them ideal for those with absorption challenges or needing immediate results

Interestingly, while you absorb 40 to 50 per cent of vitamin B12 from foods, including fortified foods, the absorption from supplements depends on the dose (EFSA, 2015

As a traditional concept, the mild metabolic abnormalities without clinical signs or symptoms are called subclinical cobalamin deficiency (SCCD), and it may progress to clinical symptomatic deficiency or remit completely without any signs

The same applies if your elevated B12 is accompanied by abnormal results on other labs (liver enzymes, kidney markers, CBC), or by symptoms like unexplained weight loss, persistent fatigue, abdominal pain, or easy bruising