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the first lab may measure and report a value of 220 pmol/l, and a different lab may measure and report 380 pmol/l, again in the same blood sample (!) There is day-to-day variation of serum B12

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Yes, the upper arm has adequate subcutaneous tissue depth for most body types, but if you have minimal fatty tissue, pinch the skin fold more firmly and angle your needle slightly to maximize contact with the subcutaneous layer rather than muscle tissue

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