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Conditions associated with elevated B12 levels include: Liver disease : Hepatocellular damage releases stored B12 into circulation, with levels correlating with disease severity in conditions such as cirrhosis, hepatitis, and hepatocellular carcinoma Renal impairment : Reduced kidney function decreases B12 clearance, leading to accumulation Haematological malignancies : Myeloproliferative disorders, acute leukaemia, and polycythaemia vera can elevate B12 through increased production of B12-binding proteins (transcobalamins) Solid tumours : Certain cancers, particularly those affecting the liver or gastrointestinal tract, may elevate B12 levels A specific concern relates to cyanocobalamin in patients with Leber's hereditary optic neuropathy , a rare mitochondrial disorder

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Can You Take Too Much Vitamin B

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IV Therapy Specialist Lacey Williams brings 24 years of nursing experience and more than eight years in plastic surgery and aesthetic medicine to her role as San Antonio Med Spas lead nurse practitioner for wellness and advanced aesthetics

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Adolescent: As cholecalciferol, 200,000 IU is injected intramuscularly

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