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This condition can be triggered by factors such as excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or infection with Helicobacter pylori bacteria

Potential Risks and Precautions Certain individuals should use caution with B12 shots

Trends in Endocrinology & Metabolism, 28(5), 340-353

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[23] Sip on a warm drink, slip into a sweater, or hop into a warm shower before you need to inject your medicine

Unlike vitamin B12 deficiency, which produces well-recognised neurological and haematological problems, hypercobalaminaemia (elevated B12) is typically asymptomatic