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If you take a daily B12 supplement or multivitamin and your levels are mildly elevated (900 to 1,200 pg/mL), the most likely explanation is the supplement

Retrieved September 15, 2022 via Google News

However, results may vary depending on the individual and the specific cognitive issues being addressed

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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, taking supplements is often necessary