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The cut-off between normal vitamin B12 levels and deficiency varies by method and laboratory, but most laboratories define subnormal serum or plasma values as those lower than 200 or 250 pg/mL (148 or 185 pmol/L)

Patients generally experience more sustainable weight loss and a better tolerable diet cycle when Vitamin B12 is combined with HCG diet

Untreated vitamin B12 deficiencies can lead to neurological issues or pernicious anemia which can occur when your body does not have enough vitamin B12 to produce the amount of red blood cells it needs

Biochemical Pharmacology Dimet-Wiley et al

These microbiome changes reversed rapidly, however, when the obese mice were returned to a normal, lean diet 79