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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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And then I would point out that there seems to be something else going on regardless of the amount of B12 in the patients blood
B12 Deficiency: Widespread, yet too Often Undetected How common is B12 deficiency
We also proposed that public reporting of the Application of Functional Assessment/Care Plan measure will end by January 2025 or as soon as technically feasible when public reporting of the DC Function measure will begin (see section III.F.2

Korpeti et al., 2023), the authors assessed study quality based on object selection, comparability and exposure
