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On 2nd day, I began experiencing vertigo type symptoms and today the muscle twitching has begun

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If the basal ganglia are in some way damaged, or if dopamine levels are disrupted in the brain, this often causes involuntary movements, and may be a related factor

Key points about elevated B12: Water-soluble vitamin with significant hepatic storage capacity Elevated levels defined as exceeding laboratory upper reference limit Often discovered incidentally during routine blood tests May reflect underlying pathology rather than toxicity Persistent elevation should be confirmed with repeat testing It is important to note that high B12 levels are generally not considered toxic in the same way as fat-soluble vitamins