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What is the most likely diagnosis for a 30-year-old woman with type 1 diabetes and increasing fatigue?
Low levels of vitamin B12 can lead to: Depression Fatigue Poor memory Tingling sensation in the extremities Mania and psychosis (at extreme levels of deficiency) Permanent damage to the brain and nervous system (from long-term deficiency) Common causes of vitamin B12 deficiency include poor absorption (due to age, pernicious anemia, atrophic gastritis, Crohn’s Disease, long-term use of acid-reducing drugs, etc.) and vegetarian/vegan diets that limit the consumption of meat, dairy, and seafood
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Quantity:Single Vial
In most of these (n = 4) fake samples, we identified no API, whereas another contained methyltestosterone and stanozolol, the second contained tadalafil and sildenafil, and the third contained methandienone and sildenafil