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Elevated levels of B12 could be indicative of certain health concerns, Vettel says, including: Cancer Diabetes Impaired kidney function Liver disease If you have elevated levels of B12, your doctor may run other tests to determine the underlying cause

In those cases, the daily intake of B12 isnt able to keep up with the B12 the body is using

A shortage of B12 results in the accumulation of methylmalonyl-CoA, which can cause the neurological issues associated with vitamin B12 deficiency

Keeping hydrated also decreases the risk of bruising from an injection