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If you suffer from low energy levels, a blood test can tell your B12 levels
A commenter noted that response rates to Federal surveys is declining as evidenced by reductions in response rates to Federal surveys in general and specifically the OAS CAHPS survey
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Taking both together makes sense for most people, though folate status should be adequate before starting high-dose b12 to avoid masking folate deficiency
[33, 37, 39] Homocysteine and Vitamin B12 The reason people believe that vitamin B12 deficiency may lead to joint pain is that there appears to be a relationship between low vitamin B12 levels and high levels of homocysteine