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Non-Medical, Reversible Causes Some causes are related to lifestyle or environmental factors and can often be reversed: Dehydration Smoking Living at high altitude Carbon monoxide exposure Use of certain drugs (anabolic steroids or erythropoietin-stimulating agents) Underlying Medical Conditions In some cases, a high hemoglobin level may be linked to an underlying condition: Chronic obstructive pulmonary disease (COPD) Emphysema Congenital heart disease Pulmonary fibrosis Kidney cancer Liver cancer Polycythemia vera (a rare blood disorder) If your hemoglobin levels remain elevated over time, its important to follow up with your GP to determine the underlying cause and whether any treatment is needed

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If you have received a coronary stent, you should consult with your clinician before having B12 injections as certain interactions between B12 and other vitamin supplements can increase the risk of blood vessel narrowing