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It can mean more binding protein in circulation, vitamin released from injured cells, reduced clearance by the liver or kidneys, recent intake, or analytical interference, where the measured value does not accurately reflect the true B12 status

In fact, B12 is so potent a factor in cell maturation that some of the original studies on it showed that cells in the bone marrow (where blood is manufactured) when deliberately deprived of B12 could mature in just a few hours when B12 was added

Reference vials in this category are catalogued by research-grade peptide suppliers such as Prime Lab

In my case, I am 100% sure that this adverse reaction was caused by the vaccine