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While we usually think about low B12 causing anemia, a few case reports describe new or worsened polycythemia - an elevated red cell mass - after B12 administration

Those who dont regularly consume animal products rich in vitamin B12 may want to consider adding fortified foods to their diet or taking a supplement to ensure that their nutritional needs are met

This is because B12 is not a standard medication in the US or UK, so it is often made in small-scale compounding pharmacies rather than in large-scale manufacturing facilities

The conditions most commonly associated with unexplained hypercobalaminemia include: Liver disease