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When deficiency is suspected based on clinical features (fatigue, paraesthesia, cognitive changes) or risk factors (vegan diet, gastric surgery, certain medications), serum B12 measurement guides appropriate intervention
Blood 115 , 16321639 (2010)
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Some areas of interest for this peptide include increasing insulin sensitivity, nerve pain, and heart, and cardiovascular disease among a few of the disease processes noted
Both medications should be prescribed under medical supervision
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