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The elevated B12 appears to be a consequence of disease activity, likely resulting from increased production of B12-binding proteins by tumor cells or from liver involvement in the cancer process

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modal maximum dose often 5 mg with many below 10 mg by the sixth fill (Mody)

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Patients with autoimmune diseases : Autoimmune disorders that attack the digestive system, such as pernicious anemia, can prevent the body from absorbing adequate B12 Incorporating B12 into Your Neuropathy Treatment Its important to consult your doctor before adding any supplements, including Vitamin B12, to your neuropathy treatment plan