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For the purpose of patient awareness, it is to be noted that vitamin B12 testing is not included in routine blood tests in India

Deficiently of vitamin B12 can lead to abnormal neurologic and psychiatric symptoms including ataxia (shaky movements and unsteady gait), muscle weakness, spasticity, incontinence, hypotension, vision problems, dementia, psychosis, and mood disturbances

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(Anesthesiology) Office visit for a 45-year-old female, established patient, for a blood pressure check

I went home and looked it up, Leija says