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Greater discomfort from side effects: Symptoms like nausea or constipation may feel worse when hydration is poor

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In this situation, it can be challenging to demonstrate B12 deficiency even when there are typical symptoms (including neuropathy-like paraesthesia and numbness), as serum B12 concentrations may be just within, or sometimes above, the normal range due to the oral supplementation

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Count the Beats: Count the number of beats in 30 seconds and multiply by two to get your beats per minute (BPM)

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