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Incidentally, the healthy reference range is 191-663 pg/ml and correlates closely with oral cobalamin intake, which is why the vitamin B12 blood level alone is not an adequate parameter to diagnose a deficiency (Herrmann and Obeid, 2014)

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Vitamin B12 is an essential nutrient that supports red blood cell production, nerve health, and energy levels

Think about it: when you're lacking enough B12, your body can't efficiently produce red blood cells, which are vital for carrying oxygen throughout your body