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Pathological causes of elevated B12 warrant careful consideration: Haematological disorders : Myeloproliferative neoplasms (polycythaemia vera, chronic myeloid leukaemia), acute leukaemia, and lymphoproliferative disorders can increase B12-binding proteins (transcobalamin and haptocorrin), elevating total serum B12 [3] Liver disease : Hepatocellular damage releases stored B12 into circulation

So, how do we solve this problem

While he experienced recovery, he also didn't share the long-term effects

Approximately 1% of oral B12 is absorbed through passive diffusion, independent of intrinsic factor, making high doses effective even in pernicious anaemia

They enhance metabolism, making it easier for your body to convert stored fat into energy