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Patients should be counselled that whilst fatigue often improves relatively quickly, paraesthesia, balance problems, or cognitive symptoms may take many months to resolve fully

He is board certified in Pediatrics and Pediatric Emergency Medicine, and certified in basic life support (BLS), advanced pediatric life support (APLS), pediatric advanced life support (PALS), advanced cardiac life support (ACLS), neonatal resuscitation (NRP), and advanced trauma life support (ATLS)

When levels are low, metabolism can feel sluggish even with good habits in place

In borderline cases, methylmalonic acid or homocysteine levels may be tested

Br J Nutr