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421 However, neurophysiological measurements, molecular pathways, and pathological findings do not fully explain the presence of neuropathic pain in diabetes

You may wish to discuss testing with a healthcare professional if you: Experience ongoing unexplained fatigue Follow a vegan or vegetarian diet Have a history of gastrointestinal surgery or digestive conditions Have previously been diagnosed with low B12 Have symptoms such as numbness, tingling, or cognitive changes Testing helps determine whether B12 injections are appropriate or whether another cause should be investigated

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With intramuscular injections, serum B12 levels rise within 2448 hours

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