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Kidney Dysfunction: While the kidneys do not directly excrete vitamin B12 efficiently, impaired renal function may lead to elevated serum B12 levels by reducing the clearance of B12-binding proteins or altering their metabolism, thereby contributing to B12 accumulation 8

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Theyre fundamentally different classes of compounds with different mechanisms, different effects, and different risk profiles

According to the 2.4 micrograms (mcg) daily for ages 14 years or older 2.6 mcg daily for pregnant people 2.8 mcg daily for people who are breastfeeding or nursing It may be possible to get enough vitamin B12 from foods

Pharmacologist, 10 : 222

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