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Contact the prescribing clinician, who can evaluate the degree of abnormality, symptoms, previous results, other medications, and whether repeat testing or additional evaluation is needed

Lydia Braun, University of Regensburg, for helpful comments on the manuscript

Certain compounds are highly sensitive to environmental changes, including pH fluctuations and microbial exposure

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If you have elevated B12 and symptoms like fatigue, weight loss, or abdominal pain, the symptoms are likely from the underlying cause of the elevation , not from the B12 itself