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This underscores why unexplained elevations, particularly above 1,000 pg/mL, should be taken seriously and investigated

Cobalt and Causes of a B12 Allergy The allergy can be triggered by taking vitamin B12 supplements because B12 contains cobalt atoms

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Doctors dont check B12 levels routinely, but they may do so if a patient reports symptoms such as weakness, fatigue, tingling in the extremities (neuropathy), or cognitive changes

Insider's takeaway Vitamin B12 injections are for those with a severe B12 deficiency or conditions that prevent their body from effectively absorbing the vitamin, Moreno says

Some sources recommend gentle swirling, and that is acceptable, but the best approach is often just patience