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This is an active form of B-12 as it does not need to be converted

Moreover, this condition leads to a low level of intrinsic factor, a protein that prevents vitamin B12 deficiency

In addition, CH50 levels were normal (71 U/mL), further reducing the suspicion for complement-mediated vasculitis [30, 31]

As a result, genetic prediction of higher vitamin B12 concentrations was associated with an elevated risk of NAFLD (odds ratio (OR) per 1-SD increase, 1.27

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A high B12 that does not fit the patient is a reason to ask whether the result reflects an assay artifact