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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

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Reported benefits (per available research): Studied in rat full-thickness wound models for accelerating skin repair, with one study reporting reepithelialization increased by up to 61% over controls by day 7, along with greater wound contraction and collagen deposition (Malinda et al., animal study, 1999) Studied in rodent models of ischemic myocardial injury for reducing post-infarct scarring and supporting cardiac tissue repair

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Common conditions that may support medical necessity for supplements include nutritional deficiencies, gut and digestive concerns, metabolic and hormonal conditions, musculoskeletal issues, and immune dysfunction

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Some of these people help diagnose your specific injury while others help you recover from the injury

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Possible B12 injection side effects tend to be mild and short-lived, and may include: Injection site pain, redness, or swelling Mild itching Brief diarrhea (less common) A feeling of warmth after the injection Serious side effects are rare

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