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Reasons for overdiagnosis A recent UK study examining diagnostic testing rates in general practice between 2000 and 2015 highlighted a significant linear (around 17% annually) increase in vitamin B12 requests 5

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Heart palpitations and shortness of breath: B12 deficiency can impact the cardiovascular system, leading to palpitations and a rapid heartbeat

Antioxidant properties of pyruvate mediate its potentiation of beta-adrenergic inotropism in stunned myocardium
