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Once all the water is in, remove the needle and gently swirl or roll the vial between your palms

SIGNIFICANCE OF ELEVATED COBALAMIN (VITAMIN B12) LEVELS IN BLOOD Note on supplementation High B12 levels in the blood while youre taking a B12 supplement are normal

Transient elevation in acute or severe illness Acute infection, a systemic inflammatory state, hospitalization, or other severe illness can push B12 up temporarily