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Elevated levels of B12 could be indicative of certain health concerns, Vettel says, including: Cancer Diabetes Impaired kidney function Liver disease If you have elevated levels of B12, your doctor may run other tests to determine the underlying cause

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If a blood sample is delayed in its transport to the hospital, some of the red blood cells can burst, spilling their B12 into the blood, which raises the B12 test

Common side effects include pain or discomfort at the injection site, and less commonly, gastrointestinal disturbances, allergic reactions, or other issues