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Pharmaceutical preparations of vitamin B 12 may be given by intramuscular injection

While it is not naturally produced, it is present in many foods including animal produce and seafood and can also be received through supplements

Conditions include alcoholic liver disease, viral hepatitis, cirrhosis, and primary or metastatic liver cancer Renal dysfunction : Impaired kidney function reduces B12 elimination, causing accumulation even with normal intake Haematological conditions : Myeloproliferative neoplasms, chronic myeloid leukaemia, polycythaemia vera, and hypereosinophilic syndrome increase transcobalamin production, elevating total serum B12 Laboratory interference : Macro-B12 (immunoglobulin-bound B12) and assay interference can cause spuriously elevated results without true excess In clinical practice, unexplained hypercobalaminaemia should prompt investigation for underlying disease, particularly in patients without obvious supplementation history

That conceptual shift may be as valuable as the compound itself

You can still get B12 if you are a vegan or vegetarian by eating fortified foods like plant-based milk and cereals or taking a B12 supplement