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When histamine binds to histamine receptors on smooth muscle cells, it can cause the cells to contract

A p-value less than 0.05 was considered statistically significant, indicating a meaningful difference in treatment efficacy

chronic liver disease and hepatitis may present with elevated levels Renal impairment : Reduced clearance can contribute to accumulation, though this is rarely clinically significant Solid tumours : Certain malignancies, particularly hepatocellular carcinoma and metastatic disease, may elevate B12 levels [3] Evidence suggests that unexplained markedly elevated B12 levels without supplementation may sometimes be associated with underlying disease