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It works without affecting the nervous system
Originally from Tallahassee, FL, she completed her medical school training at Morehouse School of Medicine in Atlanta, and her emergency medicine residency training at The University of Chicago in 2005
Symptomatic vitamin deficiency is more likely if the person is rendered achlorhydric (a complete absence of gastric acid secretion), which occurs more frequently with proton pump inhibitors than H 2 blockers
If fatigue continues, a clinician may evaluate anemia, thyroid disease, sleep problems, medication effects, mood concerns, or other causes
The combination of B12 with lipotropic compounds does not enhance the evidence for either component
2020;10:a038471
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