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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

In general: Many reconstituted solutions are stored at 28C Stability duration varies significantly by compound Manufacturer or validated research data should always be followed There is no universal stability period for all reconstituted peptides or research compounds

This is quite usual for me, so GP has recognised this as a symptom of B12 deficiency for me

Vitamin B is often given as a standalone injection when needed, because B has a large molecular size and specific storage dynamics