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Understanding Elevated Vitamin B12 Levels Discovering elevated vitamin B12 levels in blood tests can understandably cause concern, particularly when considering potential links to serious conditions

Oral doses up to 2000 mcg a day may be needed to get enough vitamin B12 in the blood

The well-known geriatrician-haematologist Larry Solomon, working at Yale University in the USA, wrote 20 years ago: if I had treated only those people who actually had too low serum B12 and elevated MMA values, then I would not have treated approximately two-thirds of the people with a favourable response to B12 supplementation (note: partly via injections, partly via oral supplementation)