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High B12 blood serum levels can often mean: The body is having trouble converting, transporting and absorbing vitamin B12 into the cells where it's needed for intracellular and downstream processes The vitamin B12 in your serum is inactive and not able to be utilized You could also have contributing deficiencies in iodine, selenium, molybdenum, and/or B21 And it can also mean that youre getting a form of B12 in your diet (or vitamins) that is not converting well in your body for absorption (likely cyanocobalamin) Ironically, this is called a paradoxical B12 deficiency

In order to know how best to treat your individual back problem, your physical therapist will assess your back and will determine how well your back is moving as well as determine if you have any muscular imbalances affecting your back
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That means that roughly 4 out of every 10 people with thyroid disease have this issue

(1994) Three years of growth hormone treatment in growth hormone-deficient adults: near normalization of body composition and physical performance
