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According to NICE Clinical Knowledge Summaries (CKS), the following thresholds are used for interpreting vitamin B12 results: Deficiency : less than 148 pmol/L (approximately 200 ng/L) Borderline : between 148-258 pmol/L (approximately 200-350 ng/L) Normal : above 258 pmol/L, with upper limits varying by laboratory It is important to check the specific reference range provided on your blood test report, as this may differ slightly between NHS trusts and private laboratories

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This paradox may be related to decreased response to B12

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