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Drug Interactions Major interactions: Non-selective MAO inhibitors (Phenelzine, Tranylcypromine) hypertensive crisis risk Increased dopaminergic effects with: Levodopa Dopamine agonists Drugs metabolized by COMT pathway may be affected (rare clinically)

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Causes of Excessive B12 Levels Elevated serum vitamin B12 levels (hypercobalaminaemia) can arise from various mechanisms, both iatrogenic and pathological