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Vitamin B12 levels were measured at 5 years and 13 years
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It is also important to remember that not every tired or low-energy feeling is caused by B12
A single unusual case report did describe a life-threatening eosinophilic pneumopericardium effusion (a type of fluid accumulation around the lungs and heart with high eosinophil counts) in an elderly woman who had been concurrently taking high-dose pantothenic acid (vitamin B5 at 300 mg/day) and biotin (10 mg/day) for two months
