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4) Blood Disorders Certain conditions affecting blood and bone marrow including some leukaemias and myeloproliferative disorders such as polycythaemia vera can cause elevated B12 due to increased production of B12binding proteins by white blood cells

Why Are People Reporting Symptoms of Too Much B12

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Sterile water preserved with 0.9% benzyl alcohol, which inhibits bacterial growth and allows repeated withdrawals from the same vial

That is why professional evaluation matters