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Regular injections can restore red blood cell levels, alleviating related symptoms such as weakness and dizziness
chronic liver disease and hepatitis may present with elevated levels Renal impairment : Reduced clearance can contribute to accumulation, though this is rarely clinically significant Solid tumours : Certain malignancies, particularly hepatocellular carcinoma and metastatic disease, may elevate B12 levels [3] Evidence suggests that unexplained markedly elevated B12 levels without supplementation may sometimes be associated with underlying disease
Gut microbiome composition changes in response to altered diet and medication effects
Hydration: Dehydration makes nausea worse
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