This article outlines an approach to interpreting and working up a high serum B12 in adults by separating four possibilities: intake-related elevation, disease-associated hypercobalaminemia (an elevated blood B12 associated with an underlying condition), analytical interference, and functional deficiency
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Each one has a specific job, and when combined, their effects can be amplified
(3) Chang CH, Tsai WC, Hsu YH, Pang JH
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