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And lastly, alcohol abuse may also impair B12 levels and metabolism (Temova Rakua et al., 2022)

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This article outlines an approach to interpreting and working up a high serum B12 in adults by separating four possibilities: intake-related elevation, disease-associated hypercobalaminemia (an elevated blood B12 associated with an underlying condition), analytical interference, and functional deficiency

However, if you experience very heavy bleeding or severe pain , your healthcare provider may investigate other possible causes to ensure your health and safety

Sensations often associated with joint pain include feeling achy, sore, or stiff in the joint, and has also been described as providing a burning, throbbing, or even a sensation of grating