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Key points about elevated B12: Water-soluble vitamin with significant hepatic storage capacity Elevated levels defined as exceeding laboratory upper reference limit Often discovered incidentally during routine blood tests May reflect underlying pathology rather than toxicity Persistent elevation should be confirmed with repeat testing It is important to note that high B12 levels are generally not considered toxic in the same way as fat-soluble vitamins

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The risk of cyanide poisoning in patients undergoing treatment with sodium nitroprusside is well documented

Burkepile describes how, on one mission, none of his group was brave enough to eat some mysterious freeze dried eggs from the Russian space programme likely to have been left behind after a Nasa trip to the base

On 2nd day, I began experiencing vertigo type symptoms and today the muscle twitching has begun