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Unexplained hypercobalaminemia, particularly levels above 1,000 pg/mL, has been associated with liver disease, kidney dysfunction, myeloproliferative disorders, and certain solid cancers in multiple large-scale studies
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Some centres may offer holotranscobalamin (active B12) testing as an alternative
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The effects of Vitamin B12 deficiency can include fatigue, weakness, numbness, tingling, memory loss, and cognitive decline
