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In the majority of cases, people with elevated B12 feel completely normal, and the finding only appears on routine blood work
Longer term For longer or repeated cycles, review trends every 3-6 months with a clinician because long-term human safety data are limited
But the core mechanism everyone points to is angiogenesis, the growth of new blood vessels
People with pernicious anemia or people who cannot absorb vitamin B 12 from their intestines will need injections of vitamin B 12 every one to three months indefinitely
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