Doctors from our health center in Nashville conduct blood tests to measure vitamin B12 levels in the body and can recommend B12 injections for those with deficiencies, i.e
Conditions include alcoholic liver disease, viral hepatitis, cirrhosis, and primary or metastatic liver cancer Renal dysfunction : Impaired kidney function reduces B12 elimination, causing accumulation even with normal intake Haematological conditions : Myeloproliferative neoplasms, chronic myeloid leukaemia, polycythaemia vera, and hypereosinophilic syndrome increase transcobalamin production, elevating total serum B12 Laboratory interference : Macro-B12 (immunoglobulin-bound B12) and assay interference can cause spuriously elevated results without true excess In clinical practice, unexplained hypercobalaminaemia should prompt investigation for underlying disease, particularly in patients without obvious supplementation history
[46] [47] Watch for excessive serotonergic effects
I have filled in a form for my GP surgery, which will go through triage, so hopefully will get some blood tests and shine some light on whats going on
It doesnt target one specific enzyme
Data were log 10 transformed if they were non-normally distributed and/or heteroscedastic
