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There is previously unrecognized but important cognitive effort of utilizing the longitudinal relationship in making a diagnosis, developing a treatment plan, and weighing the factors that affect a longitudinal doctor-patient relationship

The fact that it is highly present in many Indian clinics is indicative of the strong acceptance of it by the medical professionals

Signs of low vitamin B12 include: Fatigue Nausea Throwing up Diarrhea Losing weight without trying A sore tongue A yellow tinge to your skin Fuzzy thinking Numbness or tingling in your hands and feet Vision changes Trouble walking or speaking Feeling easily irritated Confusion Depression Many conditions share these same symptoms

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Elderly patients with cardiac conditions or those taking loop or thiazide diuretics may be particularly vulnerable