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Very high doses of B12 taken orally may occasionally cause mild gastrointestinal disturbance in some individuals, though this is uncommon

Feeling constantly tired, unfocused, or run down can take a real toll on your daily life

Transient elevation in acute or severe illness Acute infection, a systemic inflammatory state, hospitalization, or other severe illness can push B12 up temporarily

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Mehla J, Reeta KH, Gupta P, Gupta YK

"Measures of adiposity and body fat distribution in relation to serum folate levels in postmenopausal women in a feeding study"