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When symptoms occur, they typically relate to underlying conditions such as liver disease, kidney dysfunction, or haematological disorders that cause the elevation, rather than the high B12 itself
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However, full replacement of the circulating red cell pool takes approximately eight to twelve weeks , reflecting the normal red cell lifespan
A $30-50 replacement vial is not worth risking an infection or degraded medication
Nasal and Topical Applications Nasal sprays and gels, and topical creams and gels, are other ways to get Vitamin B12
