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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

Pada individu dengan fungsi ginjal yang sudah menurun, kondisi ini berpotensi mempercepat kerusakan organ jika pemberian dilakukan berulang tanpa pemantauan laboratorium

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