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No clinically significant drug interaction appears in FDA labeling or major databases
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If you often feel tired despite sufficient rest, it might be worth considering your B12 levels
doi: 10.1089/thy.2014.0525 101 MandelSJMandelL
Elaine Yu, who directs the Bone Density Center at Massachusetts General Hospital in Boston, didnt find this particular difference very clinically impactful, for the reason that the condition is often coded for incorrectly and is likely underdiagnosed in both groups
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