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Endogenous causes (medical conditions) When B12 is elevated without supplementation , it can indicate that the body is releasing stored B12 from damaged tissues, producing excess B12-binding proteins, or failing to clear B12 normally
If a vial has been left at room temperature for an unknown duration, treat that as a documentation failure and discard it rather than guessing
Studies show that mechanical agitation increases peptide aggregate formation by up to 300%
The thiazides include altizide, chlorothiazide, cyclothiazide, hydrochlorothiazide, and hydroflumethiazide
doi:10.1016/s1808-8694(15)31266-0
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