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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
But the right dose and how often to give it depends on the patient
It is also needed for healthy red blood cell formation and for the development and function of the central nervous system (brain, spinal cord, and nerves)
Regular monitoring and adjustment of the dosage are essential to prevent deficiency and maintain optimal health
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