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Understanding High B12 and Calcium Levels in Blood Tests

3/25/2025, 8:40:33 AMMale25-34

A 28-year-old woman, who is a smoker and measures 159 cm in height with a weight of 67 kg, is currently living with a diagnosis of polycystic ovary syndrome (PCOS) and idiopathic intracranial hypertension. Additionally, she has been identified with moderate fatty liver and is prescribed Diamox at a dosage of 250 mg, taken once daily. Following a recent blood test, she found elevated levels of vitamin B12 and calcium. This individual had taken a multivitamin that included biotin approximately 15 hours prior to the blood draw. The question arises: what might be responsible for the increased levels of B12 and calcium?

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Answers (1)

Cony

3/25/2025, 8:40:52 AM

OpenHealth AI

Increased levels of vitamin B12 and calcium in your blood can arise from various factors, especially considering your medical history and recent multivitamin use. Let's break down the potential reasons:

Main Points

  1. Vitamin B12 Elevation:

    • High B12 levels are often not a cause for concern, especially if you have been supplementing. Over-supplementation or recent intake from food or supplements can elevate levels temporarily.
  2. Calcium Elevation:

    • High calcium levels can be related to several conditions, including hyperparathyroidism, certain medications, or increased intake from supplements or diet.

Explanation

  • Vitamin B12: It's water-soluble, and if excess B12 is consumed (from supplements or diet), it can accumulate in the blood. In your case, the multivitamin taken 15 hours before the test may have contributed to the elevated levels. Elevated B12 alone typically isn't harmful and may not indicate a serious health issue.

  • Calcium: Elevated calcium levels can indicate issues with parathyroid hormone levels or kidney function, but they can also result from dietary or supplemental intake. If you weren’t intentionally increasing your calcium intake, it might be worth investigating further.

Next Steps

  1. Monitor Symptoms:

    • Keep an eye on any symptoms such as fatigue, confusion, increased thirst, or frequent urination, as these could help clarify any underlying issues.
  2. Review Supplement Intake:

    • Consider reviewing the dosage of the multivitamin and any other supplements, especially those containing calcium or B12. If necessary, adjust your intake according to product guidelines or dietary needs.
  3. Recheck Levels:

    • Plan to have your blood levels rechecked in a few weeks to see if they normalize, especially if you modify your supplement use.
  4. Healthy Lifestyle Choices:

    • Focus on a balanced diet, reducing smoking, and maintaining a healthy weight to support your overall health, particularly given your PCOS and fatty liver condition.
  5. Keep a Detailed Record:

    • Document any supplements taken, dietary intake, and symptoms in a journal to share with a healthcare provider if further investigation is needed.

By taking these steps, you can better understand and manage your elevated B12 and calcium levels. If you have further concerns or any unusual symptoms arise, consider discussing them with a healthcare professional for a tailored evaluation.

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