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Other studies have shown similar findings, with the rate of missed diagnosis ranging from 10 to 26 percent when diagnosis is based on low serum vitamin B 12 levels alone

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[27] Can Low B12 Cause Joint Inflammation and Muscle Aches

Due to the lack of anticholinergic activity, trazodone does not have the typical effects of tricyclic antidepressants on cardiac function

Neurological and Other Adverse Effects In rare cases, vitamin B12 injections have been associated with neurological side effects, particularly in infants undergoing treatment for severe deficiency

To get an accurate picture, you need a full panel: TSH, free T3, free T4, reverse T3, and thyroid antibodies