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This signaling cascade occurs primarily through the PI3K/AKT/mTOR pathway

Do not stop prescribed B12 treatment without medical advice, especially if you have documented deficiency or pernicious anaemia

When symptoms occur, they typically relate to underlying conditions such as liver disease, kidney dysfunction, or haematological disorders that cause the elevation, rather than the high B12 itself

Additionally, individuals with certain conditions, like Lebers disease (an optic nerve condition), should avoid B12 injections

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