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A wide variety of immune, endocrine, cardiovascular and central nervous abnormalities have been reported in CFS

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theprofesional.comTU Khan,R Arshad, SUZ AdhamiThe Professional Medical Journal, 2021theprofesional.com 28:13221325 Alam M, AK-H-J of F, 2021 undefined (2021) Serum vitamin B12 status of patients with type 2 diabetes mellitus on metformin: A single-center cross-sectional study from Bangladesh

Monitoring and follow-up Monitor clinically and repeat tests as indicated by the underlying condition Ongoing monitoring of liver function, renal function, and FBC as clinically indicated Regular review in primary care or specialist clinics for underlying conditions Patient advice: Patients should understand that elevated B12 is a marker requiring investigation rather than a condition requiring direct treatment

National Library of Medicine: "B Vitamins" Mayo Clinic: "Biotin (Oral Route)" FDA: FDA 101: Dietary Supplements Mayo Clinic: "Anaphylaxis" Mayo Clinic: "Niacin" Mayo Clinic: "Allergies" Vitamin B12 - "Health Professional Fact Sheet" National Institutes of Health: "Vitamin B12 - Health Professional Fact Sheet" Journal of Allergy and Clinical Immunology: Vitamin B12 Hypersensitivity: A Retrospective Multicenter Study Justin Laube, MD Medical Reviewer Justin Laube, MD, is a dual board-certified integrative and internal medicine physician, retreat leader, and healing educator with over 15 years of experience caring for patients w