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Conditions include alcoholic liver disease, viral hepatitis, cirrhosis, and primary or metastatic liver cancer Renal dysfunction : Impaired kidney function reduces B12 elimination, causing accumulation even with normal intake Haematological conditions : Myeloproliferative neoplasms, chronic myeloid leukaemia, polycythaemia vera, and hypereosinophilic syndrome increase transcobalamin production, elevating total serum B12 Laboratory interference : Macro-B12 (immunoglobulin-bound B12) and assay interference can cause spuriously elevated results without true excess In clinical practice, unexplained hypercobalaminaemia should prompt investigation for underlying disease, particularly in patients without obvious supplementation history

Quick Answer: Metformin does not directly cause blurry vision but blood glucose fluctuations during treatment create osmotic changes in the eye's lens, temporarily altering its shape and causing refractive vision changes that typically resolve within 6-8 weeks

Clearer thinking, improved physical capacity, and a reduction in the systemic depletion thats been dragging everything down

Common tests for B12 can therefore give misleading results

A B12 shot when your levels are genuinely low can change how your entire week feels