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According to a study by Obeid et al., a widely accepted expert consensus on diagnosing and treating vitamin B12 deficiency, recognized that untreated deficiency can lead to irreversible symptoms
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This article outlines an approach to interpreting and working up a high serum B12 in adults by separating four possibilities: intake-related elevation, disease-associated hypercobalaminemia (an elevated blood B12 associated with an underlying condition), analytical interference, and functional deficiency
