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We require a verified purity of 99% or higher and perform independent third-party spot testing to confirm that select lots meet our internal standards for identity, purity, and composition

Incidentally, the healthy reference range is 191-663 pg/ml and correlates closely with oral cobalamin intake, which is why the vitamin B12 blood level alone is not an adequate parameter to diagnose a deficiency (Herrmann and Obeid, 2014)

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Long-Term Effects (Weeks to Months): Hemoglobin production : Over time, Vitamin B12 injections can improve your blood count, which contributes to overall health and vitality

PMID 30261596