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[1] National Institutes of Health, Office of Dietary Supplements

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Herbert’s proposed model, illustrating the biochemical, metabolic, and clinical changes that occur as B12 levels move from repletion to depletion, eventually leading to clinical vitamin B12 deficiency: The 4 Stages of B12 Deficiency In Detail Here’s a more detailed description of all B12 deficiency stages: Stage 1: Early Serum Depletion This marks the beginning of B12 deficiency