Protect from light, avoid freeze-thaw, and store upright
We describe a case of functional vitamin B12 deficiency where the repeated measurement of a serum B12 level within the normal range led to delay in the diagnosis of subacute combined degeneration of the spinal cord, and possibly permanent neurological damage as a result. Symptomatic patients may be suffering from B12 deficiency caused by parasites or infections such as SIBO, this can lead to misdiagnosis since serum B12 levels will often be within range despite a possible severe deficiency
Especially in organs with a high energy demand like the liver which is responsible for the detoxifying of foreign substances for the whole body , the heart, kidneys and the brain, cells and mitochondria can be harmed
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However, excessive cytokine release can lead to a massive inflammatory cascade, which causes reversible or irreversible organ dysfunction and even death (73)
