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The next step is to run through some simple orthopedic tests to try and differentiate what might be going on
B12 injections , also called B12 shots, are popular with patients who feel tired, foggy, or run-down and want an energy and metabolism boost
Serum cobalamin levels do not strictly correlate with physiologic deficiency, in part because traditional assays measure total serum cobalamin, even though the fraction bound to transcobalamin II (holotranscobalamin II) is physiologically most important
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doi:10.1136/bmjopen-2020-044385
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