Increasing your intake of vitamin B12 through foods or supplements can help prevent deficiency, which may improve side effects like low energy levels and fatigue
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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
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Chat with one of our pharmacists Vitamin B12 deficiency can present in a variety of ways, and symptoms often develop gradually, making them easy to overlook or attribute to other causes
