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The USDA Agricultural Research Service used the 148 pmol/L threshold in their national prevalence studies, and the NIH Office of Dietary Supplements acknowledges that lab reference ranges can vary between institutions

Side Effects of Excessive B12 Intake Whilst vitamin B12 toxicity is uncommon, several adverse effects have been reported in association with very high B12 levels, though establishing direct causation remains challenging

Its more likely that your body didnt respond properly to treatment

It also appears to have anti-lipogenic properties, meaning it helps prevent non-fatty foods from converting into body fat