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111 However, ginkgo does not appear to affect bleeding time and its use has not been associated with an increased risk of bleeding

Some causes that can lead to high B12 in a blood test and that should be ruled out: And the section that many of you have been waiting for: Andrs et al, in a paper that we always recommend to our students on excess cobalamin, state that at very high cobalamin levels, functional deficiencies should be ruled out, homocysteine and MMA should be checked, and the cause should be sought

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However, if your diet doesn't include these food groups or if you have a condition like Crohn's disease, that might mean that your body needs a little extra help getting enough B12