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However, if you do have blood work done note that the drawback is that the current widely used test to check B12 levels only measures the total amount o vitamin B12 in your blood, meaning, it measures the forms of active B12 which your body can use and process as well as the inactive forms which cannot

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Performance on each test is expressed as an age- and sex-adjusted Z-score relative to healthy controls, and the overall PHES is calculated by summing the component scores