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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
Upper arm : May require assistance for precise placement
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Your body uses vitamin B12 more efficiently when you consume folate (vitamin B9) and iron together
The surgery also changes how the body makes digestive enzymes and bile acids, making nutrient absorption harder
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