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Maybe not a lot
Regarding plasma B12 - this is not the case, serum B12 often remains highly elevated (well over the normal range) even while symptoms return - this is why testing B12 once treatment begins is not recommended
The appearance of a pustular/papular rash associated with high levels of Vitamin B12 is well described in the medical literature even though the exact mechanism appears to be unknown
Vitamin B12 is most seen in oral supplementation or vitamins you can buy in the grocery store or local pharmacy
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