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Fella coaches can also help with dietary strategies that minimize GI discomfort

Reported intake or a recent injection is the likely cause, since oral supplements, fortified products, and injected B12 are the most common reasons for a high value

You could/should remind them that untreated b12 deficiency can cause irreversible neurological damage and they will be liable "You could/should remind them that untreated b12 deficiency can cause irreversible neurological damage " I agree with DocDaveM 's comment above

Combating resistance: current and novel strategies Overcoming drug resistance remains a central challenge in oncology