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Vitamin B12 blood levels of 200 picomoles per liter (pmol/L) or below are typically considered low, though diagnosing a true deficiency can be complicated ( If you worry you might be deficient, its best to consult a healthcare professional

Otherwise, no immediate adverse effects, and my tests will show in a couple of months is it actually makes things better

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Do not spray directly onto the lyophilized powder

Have not achieved desired results with traditional diet and exercise alone