chronic liver disease and hepatitis may present with elevated levels Renal impairment : Reduced clearance can contribute to accumulation, though this is rarely clinically significant Solid tumours : Certain malignancies, particularly hepatocellular carcinoma and metastatic disease, may elevate B12 levels [3] Evidence suggests that unexplained markedly elevated B12 levels without supplementation may sometimes be associated with underlying disease
were fellows of an M.D
To view a copy of this license, visit About this article Cite this article Zhang, Z., Li, X., Yang, F
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In terms of reduction in glucose levels at 2 h after OGTT, 5 studies (with 205 and 213 subjects the experimental and control groups, respectively) were included for analysis