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rather, elevated levels may reflect the activity of binding proteins or changes in how the body processes B12

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Secondary polycythemia can be caused by low oxygen levels from lung disease, sleep apnea, or other conditions

The lack of formal safety testing and quality control standards means that their risk profiles are not well-established

An individual becomes deficient when they are not consuming enough Vitamin B12-rich foods or they are unable to absorb sufficient Vitamin B12

doi: 10.1586/1744666X.2015.1012158 213 FreyDJungSBrackmannFRichter-KrausMTrollmannR