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Some define elevation as a value at or above 1,000 ng/L, which is the same as 1,000 pg/mL and roughly 738 pmol/L, while others set the bar at more than 1,000 pmol/L, closer to 1,355 pg/mL
[4] Clinical practice typically involves reviewing medication history, assessing liver function, performing a full blood count, and considering haematological or hepatological referral when levels are markedly elevated without clear cause
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It could have been worse - a severe vitamin B 12 deficiency can lead to deep depression, paranoia and delusions, memory loss, incontinence, loss of taste and smell, and more
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