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Some patients might also have autonomic features such as conjunctival injection, lacrimation, nasal congestion or rhinorrhoea, eyelid oedema, ptosis, or facial sweating

However, barring further research, this remains a speculatory point [11]

What an elevated serum B12 represents, and why no single threshold exists A serum B12 reflects vitamin bound to transport proteins in the blood, not the amount that has reached the tissues, and the threshold for calling it high shifts with the assay, the laboratory, reference interval, and the unit on the report

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Keep the vial sealed between draws and minimize how often you open it