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Its vital for making red blood cells , keeping nerves healthy, and making DNA

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

However, a review summarizing 17 studies found that folate levels are lower for women using birth control pills [28]

Reconstitution requires bacteriostatic water and proper sterile technique