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In liver diseases such as hepatitis, fatty liver disease, or cirrhosis, stored B12 and B12binding proteins may be released into the bloodstream, contributing to elevated levels

The Guidance from the British Society for Haematology caused a huge strain on this society resources as concerned patients, or rather frightened and terrified patients were being told by the GPs that following the advice of the BSH they have enough B-12 stored in their liver that they will not need an injection for a year or even longer

For details on how much of a supplement to take, see the article: Vitamin B12 Dosages

Common signs of B12 deficiency include persistent fatigue, pins and needles, and low mood