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B12 deficiency can be caused by certain types of anemia, gastrointestinal conditions that affect absorption, or dietary restrictions such as strict vegetarian or vegan diets

Elevated serum B12 levels may sometimes indicate underlying medical conditions rather than true overdose, warranting clinical investigation to exclude haematological disorders, liver disease, or renal impairment

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For example, I would combine evidence-based integrative therapies with chemo in an effort to enhance the chemo while moderating its toxicity, I would pursue nutritional therapies, I would take supplements that have been shown to be cytotoxic to colon cancer, etc
