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For those who do not get enough B12 through their diet, B12 supplements can be taken to meet daily needs

What to consider if your results are out of range: If you're low in vitamin B12, you can incorporate B12-rich foods such as clams, mackerel, salmon, beef, dairy, or nutritional yeast into your diet, but you may still need to supplement

For example, taking large doses of vitamin C (found in citrus fruits and juices) at the same time can reduce B12 absorption

Yu T, Wang YT, Chen P, Li YH, Chen YX, Zeng H, Yu AM, Huang M, Bi HC (2015) Effects of nicotinamide N -methyltransferase on PANC-1 cells proliferation, metastatic potential and survival under metabolic stress