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Intake-related elevation as the most common explanation Most of the time, a high B12 traces back to something the patient took or was given

It can include extreme tiredness or exhaustion that prevents you from doing activities of normal life

Guideline 1: Proper Deficiency Diagnosis First, a Vitamin B12 deficiency must be accurately diagnosed

Needles should be used only once to prevent infections and skin problems

Patients should also be aware that certain medicationssuch as proton pump inhibitors (PPIs) and metformincan interfere with B12 absorption, though this is less relevant once on injection therapy

Common side effects include mild injection site pain, redness, or swelling