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Levels of 0.40% or higher are potentially fatal, with risks including coma and death due to respiratory arrest

2,3 One of the potential differential diagnoses to consider in these patients is cobalamin or vitamin B 12 (B 12 ) deficiency

Pyridoxine also contributes to the production of red blood cells, as well as the neurotransmitters in your brain

You can improve your symptoms by taking a B12 supplement by mouth, though some prefer to take it as an injection or intravenously

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