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Review supplementation If elevated B12 results from excessive supplementation: Discontinue or reduce high-dose supplements unless medically indicated For patients receiving therapeutic B12 injections for confirmed deficiency, continue treatment as prescribedelevated levels are expected after replacement therapy and do not indicate toxicity Review with GP to ensure supplementation remains appropriate 3

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These bacteria are widely distributed in environmental reservoirs such as soil, water, and organic matter and can colonize the human gastrointestinal tract

Causes of Slow Recovery: Overtraining, inadequate sleep, poor nutrition, age-related decline in growth hormone, and underlying micro-injuries that never fully heal