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However, population-based studies performed in Catalonia and the Canary Islands [7, 8], both of which used a serum vitamin B12 cut-off of 200 pg/ml, returned values of 1.9% and 3.4% respectively

Compounded methylcobalamin injections may be prescribed by a licensed healthcare provider for patients with clinically appropriate vitamin B12 deficiency or when injectable vitamin B12 supplementation is considered medically appropriate

Vegans also have a higher risk, since its difficult to get the vitamin from food not sourced from animals

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ACS Nano 14 , 25852627 (2020)