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Advanced liver disease can alter the levels of B12 binding proteins in the blood, making total serum B12 measurements unreliablelevels may appear normal or even elevated despite functional deficiency

This process plays a crucial role in sustaining cell homeostasis (95, 96)

Using more than 3mL means dose volumes may exceed 100 units (1mL) and require multiple injections per dose

Frequently Asked Health Questions Who Should Avoid B12 Injections

The tratd areas may exhibit swelling, tndrnss, and rdnss