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Conditions include alcoholic liver disease, viral hepatitis, cirrhosis, and primary or metastatic liver cancer Renal dysfunction : Impaired kidney function reduces B12 elimination, causing accumulation even with normal intake Haematological conditions : Myeloproliferative neoplasms, chronic myeloid leukaemia, polycythaemia vera, and hypereosinophilic syndrome increase transcobalamin production, elevating total serum B12 Laboratory interference : Macro-B12 (immunoglobulin-bound B12) and assay interference can cause spuriously elevated results without true excess In clinical practice, unexplained hypercobalaminaemia should prompt investigation for underlying disease, particularly in patients without obvious supplementation history

Contraindications Hypersensitivity to Mecobalamin Leber's disease (a hereditary eye disorder) may worsen vision Use with caution in patients with renal disorders Availability Mecobalamin 1500 mcg Methylcobalamin B12 tablet Vitamin B12 supplement for nerves B12 for neuropathy Nerve regeneration supplement Peripheral neuropathy treatment Vitamin B12 for energy and anemia

Lambs : 5 - 8 ml