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Other things that can show up as elevated B12 without supplementation include certain liver conditions, some blood disorders, and a few rarer issues

Dosage and Frequency Higher doses and longer protocols dont always translate to better results

Secker C, Fackeldey K, Weber M et al (2023) Novel multi-objective affinity approach allows to identify pH-specific -opioid receptor agonists

Hydroxocobalamin injections are the UK first-line treatment, administered intramuscularly to ensure reliable B12 delivery independent of gut absorption

An important clinical paradox: elevated serum B12 can sometimes coexist with functional B12 deficiency

Great team (front end and pharmacist), support when needed