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Natural extracts that contain higenamine may be legitimate

People taking high-dose B12 supplements (1,000 to 5,000 mcg daily), receiving B12 injections (cyanocobalamin or methylcobalamin), or consuming heavily fortified foods can easily push their serum levels above 900 pg/mL

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Commercial certificates may instead report 5-Amino-1MQ iodide and include the mass of the iodide ion