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High B12 blood serum levels can often mean: The body is having trouble converting, transporting and absorbing vitamin B12 into the cells where it's needed for intracellular and downstream processes The vitamin B12 in your serum is inactive and not able to be utilized You could also have contributing deficiencies in iodine, selenium, molybdenum, and/or B21 And it can also mean that youre getting a form of B12 in your diet (or vitamins) that is not converting well in your body for absorption (likely cyanocobalamin) Ironically, this is called a paradoxical B12 deficiency

Most patients with mildly elevated B12 and no identified pathology require only periodic monitoring with reassurance once serious causes have been excluded

Medications such as ibuprofen and acetaminophen are all very helpful, as long as theyre safe for you to take, says Dr

Rare Side Effects In rare cases, more serious side effects may occur

PMID: 10784463 Ehsan Ullah Syed, Mohammad Wasay, Safia Awan