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Multiple myeloma, a cancer of certain white blood cells HIV infection Pregnancy Use of oral contraception Use of the anticonvulsant drug phenytoin Blood disorders like chronic myelogenous leukemia or polycythemia vera Alcoholic liver disease, cirrhosis, or hepatitis Kidney disease Use of nitrous oxide, also known as laughing gas or whippets Autoimmune disorders Rare genetic disorders Interpretation of test results depends on various factors, including symptoms, medical history, and other laboratory findings

Deficiencies of vitamin B12 are fairly common but it is difficult to know if you are deficient

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It also facilitates transportation of cholesterol and fats within the body, which is vital for various organic systems