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The energy-boosting effect is only seen when treating genuine deficiency, where fatigue is a primary symptom

[153] There is evidence that for elderly people, physicians often repeatedly prescribe and administer cyanocobalamin injections inappropriately, evidenced by the majority of subjects in one large study either having had normal serum concentrations or having not been tested before the injections

Instead, focus on reducing stress, eating a balanced diet, and getting enough rest

In addition to blood tests, MRI scans, neurological examinations, and other procedures, we employ state-of-the-art medical technology to support the diagnostic process and subsequent treatment planning

Yoo, MD (EM Assistant Professor, San Antonio, TX), Alex Koyfman, MD (@EMHighAK), and Brit Long, MD (@long_brit) Case: A 55-year-old male with history of hypertension on hydrochlorothiazide presents to the emergency department (ED) with a chief complaint of a red, swollen, and painful left big toe