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Although MedlinePlus says that Normal values are 160 to 950 picograms per milliliter (pg/mL), the clinical reference UptoDate says that a normal serum vitamin B12 level is above 300 pg/mL

Support digestion and the microbiome replace what is missing (such as digestive enzymes or stomach acid where indicated) and repopulate with appropriate prebiotics and probiotics to restore balance