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Vitamin B12 is crucial in the formation of red blood cells and the functioning of the nerve

Modified Dosing Protocols for Kidney Patients To avoid risks, kidney patients may need special vitamin B12 doses

Nat New Biol

"but I do find it weird that my B12 is nonexistent and yet my RBC, MCV, and MCH are normal." Low B12 can lead to enlarged red blood cells (macrocytosis)