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Diagnosis of elevated vitamin B12 begins with serum B12 measurement, typically performed as part of routine blood tests or when investigating anaemia, neurological symptoms, or other clinical concerns

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The efficacy evidence is growing: lab studies (AHK-Cu 2007), a 45-patient RCT (Lee/Kim 2016), combination studies (Kuceki 2025), and now this pilot study all point in the same direction

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