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Hematologic disorders like chronic myelogeneous leukemia, promyelocytic leukemia, polycythemia vera, and hypereosinophilic syndrome can present as elevated serum blood levels of vitamin B12, which is also known clinically as serum cobalamin, note the authors of a 2013 research review published in the journal Clinical Biochemistry

Klicek R, Sever M, Radic B, Drmic D, Kocman I, Zoricic I, et al

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[6] [65] Since there are few non-animal sources of the vitamin, vegans are advised to consume a dietary supplement or fortified foods for B 12 intake, or risk serious health consequences