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In the past, the Schilling test was used, but is rarely conducted today because this test uses radioactive B12

Urine yesterday was dark, which is not normal for me at all since I stay well hydrated, and Im thinking this is either a kidney infection or stone, which I had once before., about 15 years ago

We proposed to eliminate the 14-day timeframe, for beneficiary contact, and to rather rely upon a single 30-day timeframe for contact and confirmation of the need for refill

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Elevated serum B12 is usually asymptomatic and discovered incidentally during routine blood tests Common causes include B12 supplementation, liver disease, haematological disorders, and chronic kidney disease Symptoms such as jaundice, unexplained weight loss, or bruising suggest underlying pathology requiring investigation B12 is water-soluble with no established upper safe limit, and excess is naturally excreted by the kidneys Management focuses on identifying and treating underlying causes rather than lowering B12 levels directly Patients with persistent elevation should undergo comprehensive assessment including liver function, renal function, and haematological investigations Table of Contents What Are the Symptoms of High Vitamin B12 Levels