### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My vitamin b12 level from my blood test is extremely high 1,576.00 What causes that And should I BE concerned. I do have Hashimotos thyroiditis,hepatitis c,hypertension, chronic pain (esp.BACK,NECK ETC.) AND JUST FOUND OUT THAT MY AORTIC VALVE AND MITAL VALVES HAVE MODERATE AND MILD REGURGESTATION. I WAS HOSPTALIZED FOR MENTAL STATUS CHECK AND CONFUSION, WHILE IN ER BECAME COMPLETELY CONFUSED,NEEDING RESTRAINTS (NO MEMORY OF THIS) FOLLOWED BY ACUTE RESPIRATORY FAILURE REQUIRING INTUBATION,NG TUE,THE WORKS BUT THEY PULLED ME THROUGH. MANY TESTS STILL DON T KNOW CAUSE OF RES. FAILURE. HEMOGLOBIN 10,RBC 3.35, HEMATOCRIT 32.9, SATURATION %10 BILIIRUBIN 0.2. MANY OTHERS CAN YOU HELP?

### output:

Thank you for your question. In your case it may be due to hepatitis that high B12 level is showing.However, if your doctor is managing it also your other disease conditions, you need not worry. Your kidney status and functions should also be assessed to be on safe side. Repeat complete blood count and bone marrow examination. Consult a clinical hematologist also. Pappaya is a good fruit for blood disorders so try it every day.