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Description
Vitamin B12 often occurs in a combination with deficiency of vitamin B6, or folate deficiency anemia
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Vitamin B12 plays a critical role in maintaining several key functions in the body: Energy Production: B12 is essential for converting food into usable energy by aiding the metabolism of fats, proteins, and carbohydrates

The large amount doesn't pose a danger because people with pernicious anemia absorb only a small fraction of it