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chronic liver disease and hepatitis may present with elevated levels Renal impairment : Reduced clearance can contribute to accumulation, though this is rarely clinically significant Solid tumours : Certain malignancies, particularly hepatocellular carcinoma and metastatic disease, may elevate B12 levels [3] Evidence suggests that unexplained markedly elevated B12 levels without supplementation may sometimes be associated with underlying disease

While high doses of vitamin C generally arent considered harmful, they could cause gastrointestinal discomfort

Retrieved 2014-04-10

Tell your doctor if you notice any unusual symptoms during treatment, and attend any blood tests your doctor recommends to monitor your liver

Refrigeration at 2 to 8 degrees Celsius remains the recommended storage method after reconstitution

Prepare your environment: Wash your hands thoroughly with soap and water