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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

Its sitting there on your lab bench, a small container holding a delicate, chalky-white puck of lyophilized powder

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Weeks 1-2: Anti-inflammatory effects are usually the first to be noticed