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My Mantra -"In Healthcare Research, Ethics Illuminate the Path, Safety Guards the Journey, and Efficacy Fuels the Destination." Introduction #VitaminB12, a vital water-soluble vitamin, plays an essential role in red blood cell formation DNA synthesis nerve function While its importance is widely recognized, deficiency often goes unnoticed especially in people with diabetes

Conditions like hypothyroidism, insulin resistance, elevated cortisol from chronic stress, and estrogen dominance can all cause the body to hold onto fat even when diet and exercise are on track

However, in regions with limited sunlight, like Vancouver, WA, deficiencies are common

Thyroid Function : Rare reports of temporary thyroid function changes, though causation remains unclear in research literature

Therefore, microvascular decompression (MVD) is the surgical treatment of choice, particularly in patients in whom neurovascular contact is detected