Peak Performance Wellness & Aesthetics 3980 Bristol Hwy Johnson City, TN 37601 423-212-3703 Serving Johnson City, Bristol, Kingsport, and the entire Tri-Cities area Additional Resources Explore More Peak Performance Services: IV Hydration Therapy Medical Weight Loss with Semaglutide & Tirzepatide Hormone Optimization Mens Health Aesthetic Services (Botox & Dermal Fillers) Regenerative Medicine Primary Care Services All Services Connect With Us: Read Our Blog for wellness tips and health information About Our Team Contact Us for questions or to schedule your consultation Follow us on Instagram for wellness tips and client success stories Join our email list for exclusive promotions and health updates Medical Disclaimer: The information provided on this page is for educational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment
Interpretation should consider: Symptoms CBC (especially if basophilia, leukocytosis, etc.) Liver function tests Renal function Inflammatory markers Even high serum cobalamin levels can be accompanied by functional deficiency Suggested Workup for Unexplained High B12 : Repeat B12 measurement off supplements Check: Liver enzymes CBC with differential Serum creatinine Holotranscobalamin active fraction of vitamin B12, bound to TCB II 8 Consideration of myeloproliferative neoplasm workup if hematologic abnormalities are present Imaging if malignancy suspected (e.g., abdominal imaging if liver pathology or malignancy is suspected) In summary, while elevated B12 is most often benign and related to supplementation or liver/renal dysfunction, it is essential to rule out underlying hematologic malignancy or solid organ cancer when unexplained or accompanied by abnormal clinical or laboratory findings
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This intensive phase can help saturate your body with glutathione and address any deficiencies
