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The approach depends entirely on the cause

Yes, its commonly packaged in plastic or glass vials, both of which are safe and approved for medical use

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International Journal of Obesity and Related Metabolic Disorders

Review supplementation If elevated B12 results from excessive supplementation: Discontinue or reduce high-dose supplements unless medically indicated For patients receiving therapeutic B12 injections for confirmed deficiency, continue treatment as prescribedelevated levels are expected after replacement therapy and do not indicate toxicity Review with GP to ensure supplementation remains appropriate 3