Kelliher, CPM, The Lundgren Management Group, Inc
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1,2 Serum vitamin B 12 levels may be artificially elevated in patients with alcoholism, liver disease, or cancer because of decreased hepatic clearance of transport proteins and resultant higher circulating levels of vitamin B 12
A full blood count and serum B12 measurement are straightforward investigations that can help differentiate causes
Im only 51 so for me thats an accomplishment