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Conclusion Whilst severe B12 deficiency has a clear clinical picture with characteristic haematological and/or neurological features, establishing mild or borderline deficiency can be problematic as serum levels are maintained at the expense of tissue concentrations, and therefore serum levels of B12 may be in the low normal or borderline range despite a deficiency

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Cold flashes are similar to hot flashesboth are temporary and often triggered by the hypothalamus overreacting to temperature changes, explains Knight

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Data Analysis Data were analyzed using SPSS 21