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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

Some receive a little, but what they may be taught is not necessarily up to date or their training focused solely on PA (pernicious anaemia) and the frankly ridiculous notion that anyone without a definite diagnosis of this or the presence of anaemia does not require treatment

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Also contains sodium metabisulfite 1.5 mg and sodium hydroxide to adjust the pH.