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Sometimes a deficiency can be hard to detect as the liver can store this vitamin for a few years

Symptoms of Vitamin B12 Deficiency The human liver stores several years worth of vitamin B12, so having a deficiency isnt very common but lots of people have lower levels

Specifically: Outpatient and inpatient laboratory test volumes for B 12 investigations increased from 267,721 to 570,265 between 2013 and 2020

This is why supplementation is often recommended

The 0.9% benzyl alcohol concentration provides effective bacteriostatic activity without interfering with peptide stability or activity in most research applications