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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

For questions about any compounded medication that came from Empower Pharmacy, they have pharmacists available during normal business hours (7:30am to 7:30pm CST) to answer questions

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Visual disturbances should be evaluated without delay