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Although nerve conduction studies or somatosensory evoked potentials can identify abnormalities when the spinal MRI appears normal, their clinical utility in elderly patients is limited, and prompt empirical treatment with vitamin B12 is generally preferable to invasive diagnostic testing

Some drugs (including colchicine and metformin), as well as vitamins like vitamin C and folic acid, can reduce the levels of vitamin B12 in your body or affect the absorption of it

doi: 10.1111/j.1365-2125.2009.03522.x

Signs of a B12 Deficiency Most often, a B12 deficiency will be identified by the presence of extreme fatigue, muscle soreness, or reduced focus and memory loss

Here's what a typical Murrells Inlet appointment looks like from beginning to end: Brief check-in and medical history review