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A result within the normal range (typically around 133675 pmol/L, though this varies by laboratory) generally indicates adequate vitamin B12 status , though symptoms may occasionally occur even with borderline-normal levels, particularly in individuals with increased metabolic demands or early neurological involvement

One of the most cutting-edge areas of Vitamin B12 research involves its role as an "epidrug"a compound capable of altering gene expression without changing the underlying DNA sequence