Diagnosis of elevated vitamin B12 begins with serum B12 measurement, typically performed as part of routine blood tests or when investigating anaemia, neurological symptoms, or other clinical concerns
However, those with specific autoimmune conditions (particularly psoriasis or rosacea, where LL-37 is naturally overexpressed locally) should consult with their healthcare provider, as adding exogenous LL-37 could potentially exacerbate hyper-immune responses in those highly specific contexts
That is why supervised administration and regular follow-up are non-negotiable at our clinic
That being said, the conversion of severe anemia to normal production of red blood cells can temporarily lead to low potassium levels and a high platelet count
If you are taking pioglitazone with insulin, inform your doctor immediately if you develop symptoms such as shortness of breath or swelling, as this combination may increase the risk of heart failure in some people
