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Certain groups are more likely to experience high vitamin B12 levels, including: Individuals receiving high-dose B12 injections or supplements, especially over a prolonged period 6

However, as with any experimental treatment, potential risks and side effects may exist

Patients should receive comprehensive education regarding signs and symptoms that could indicate malignancy and should be counseled to report any new symptoms or changes promptly

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Similar clinical symptoms are found in individuals with hereditary IF deficiency (also called congenital pernicious anemia) in whom the lack of IF results in the defective absorption of vitamin B 12