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People with certain medical conditions, including kidney disease, should use vitamin B12 supplements only under medical supervision

Without proper treatment and physical rehabilitation, SLAP injuries can cause chronic stiffness, pain, and weakness in the affected arm

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

Bleeding or bruising: In some cases, individuals may experience minor bleeding or bruising at the injection site