High levels are often a marker, not a causeusually due to supplements or underlying conditions
Contact your GP if you experience: Persistent anxiety, panic attacks, or mood changes that interfere with daily functioning Physical symptoms accompanying anxiety, such as palpitations, chest tightness, breathlessness, or dizziness Neurological symptoms including numbness, tingling (paraesthesia), balance problems, or memory difficulties Symptoms that began shortly after starting B12 supplements or changing dosage Concerns about potential B12 deficiency (fatigue, pallor, glossitis, cognitive changes) Your GP can conduct a thorough assessment including medical history, medication review, and physical examination
The main difference between sterile water vs bacteriostatic water is the addition of preservatives, such as benzyl alcohol added in bacteriostatic water
Though directions for safe dosing are listed on most supplement bottles, its common practice to take more than whats recommended
Talking to your oncologist about B12 supplements before treatment is vital