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The study population may have differed in meaningful ways

However, this storage is not responsible for high vitamin B12 levels and such elevations are rarely due to excessive dietary intake 4 , 5

Elevated liver enzymes usually indicate inflammation or injury of the liver

That is a large part of why B12 has such a favorable safety record

Think of it like planning a trip you look at the fun stuff, but you also pack for bad weather and know where the nearest hospital is, just in case