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To restate the point clearly: a high serum B12 level is not, by itself, what's making you feel anxious or giving you palpitations

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Several factors can lead to elevated B12 levels, including: Over-supplementation: The excessive intake of vitamin B12 through high-dose oral supplements or repeated intramuscular injections can raise blood levels of B12 temporarily 6

For the best results, plan your reconstitution timing so you use the full vial within 3 weeks