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If your B12 level is below 200 pg/mL (picograms per milliliter), you're considered to have a deficiency
Despite its toxicity potential, pipermethystine may not be the responsible for the hepatotoxicity reports in Germany in the 2000s, as stated by Lechtenberg et al
Vukojevic J et al
doi: 10.1127/entomologia/2023/1686 59 LiY
