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In rare cases, acute hepatitis B can cause liver failure
It all boils down to the need of the patient, even when the injectables are good but oral supplements are also acceptable depending on the needs of the patient
If this occurs, slight dose adjustment (increasing by 50mcg if not already at 500mcg) may help
However, it corroborates the medical necessity for the infusion
High vitamin B12 levels may also be present in people with conditions such as liver disease and certain cancers
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