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Elevated levels of B12 could be indicative of certain health concerns, Vettel says, including: Cancer Diabetes Impaired kidney function Liver disease If you have elevated levels of B12, your doctor may run other tests to determine the underlying cause

Perhaps more common in severe B12 deficiency is an autoimmune Atrophic gastritis which is when your immune system attacks healthy cells in your stomach lining and it is these cells that produce the Intrinsic Factor

Document what the provider will do

most plans involve a weekly or monthly visit

Speaking of plateaus, the semaglutide plateau guide addresses what to do when progress stalls, and this article on no weight loss after 4 weeks covers the frustrating early period some users experience

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