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Leading medical sources, including The BMJ and Harvards Nutrition Source, emphasize that elevated B12 levels alone do not indicate toxicity or adverse effects

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I was lucky to have made the connection as I found out I was taking synthetic B12 from a complete-food powder (Huel, similar to Soylent), which of course contained B12 with the cyano-group attached and hypothesized that being the cause as Ive been mostly vegan by consuming Huel as my main meal three times a day almost every day with the very occasional meat or cheese

[14] A dose of 200 mcg per day has been found to reduce TPO antibodies by about 50 percent within three months