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, Kim, J

Nayana Shetty, MBBS, MD Health Risks Associated with High B12 In some cases, high vitamin B12 levels symptoms can include unusual symptoms like anxiety or a rapid heartbeat, which are more likely associated with the underlying condition, not the elevated B12 levels themselves

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Generally speaking, if the muscle feels weak and atrophied or there are involuntary movements, following three to six months of conservative treatment follow-up EMG or images show that your nerves' condition continues to deteriorate or there is evidence of acute nerve necrosis, surgery is recommended

ASMBS guidelines for vitamin B12 As you may be able to tell from the summary above