The GP will take a detailed history including: Current medications and supplements (particularly B12 injections or high-dose oral preparations) Alcohol consumption and risk factors for liver disease Personal or family history of haematological disorders or cancer Symptoms suggesting underlying pathology Recommended investigations: Patients with unexplained elevated B12 should undergo: Repeat B12 measurement to confirm persistence, ideally timed away from recent injections or high-dose supplements Full blood count (FBC): To identify polycythaemia, leucocytosis, or other haematological abnormalities Liver function tests (LFTs): Including ALT, AST, ALP, bilirubin, and albumin to assess hepatic function Renal function tests: Urea, creatinine, and estimated glomerular filtration rate (eGFR) Lactate dehydrogenase (LDH): Elevated in haemolysis, liver disease, and some malignancies Further investigations may include: Abdominal ultrasound or CT scanning if liver disease or malignancy suspected Haematology referral for bone marrow examination if myeloproliferative disorder considered Liaison with the laboratory if results conflict with the clinical picture, as immunoassay interference (e.g., macro-B12) may occur In specialist settings, measurement of holo-transcobalamin or B12-binding proteins may be considered The urgency of investigation depends on clinical features and suspected underlying conditions
In addition, poor mood and concentration, irritability, depressive symptoms, inability to sleep normally, nausea, vomiting, diarrhea, and even numbness and tingling in your hands and feet can be signs of a Vitamin B12 deficiency
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This product is for research purposes only
Pickart, who discovered the peptide, a mixture of GHK-Cu and vitamin C suppressed the growth of a highly malignant cancer in mice called sarcoma-180.9 Anti-pain effects GHK-Cu also appears to possess analgesic, or anti-pain, effects
Storage: Refrigerate the troches at a cool temperature (36 to 46F) to preserve them for several weeks without degradation
