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(3) Renal (kidney-related) causes Reduced kidney function may contribute to elevated B12 by reducing clearance

People who cannot absorb vitamin B 12 should continue to eat a well-balanced diet that provides other nutrients (folic acid, iron, and vitamin C) necessary to produce healthy blood cells

Ignoring these conditions can lead to serious complications

This is to ensure rapid replenishment of body stores to prevent irreversible consequences of deficiency

and the American Diabetes Association

It reliably raises serum B12 levels, resolves megaloblastic anemia, and, when started before irreversible damage, can reverse neurological symptoms