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You are advised to talk to your doctor if the side effects persist or worsen

Key points about elevated B12: Water-soluble vitamin with significant hepatic storage capacity Elevated levels defined as exceeding laboratory upper reference limit Often discovered incidentally during routine blood tests May reflect underlying pathology rather than toxicity Persistent elevation should be confirmed with repeat testing It is important to note that high B12 levels are generally not considered toxic in the same way as fat-soluble vitamins

And Im not the only one raising this concern

Do not use without careful consideration of interaction risks with medications or other supplements you are taking