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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
The thigh is also easy to reach, making it a preferred site for those who self-administer shots
S (Study design): Randomised controlled trials (RCTs), non-randomised controlled trials (N-RCTs), cohort studies, and case-control studies
That means your concentration is higher than calculated
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