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When patients undergo blood tests, healthcare professionals may measure serum B12 levels when clinically indicatedfor example, if you have symptoms such as fatigue, neurological changes, or blood test abnormalities like macrocytosis

Movement Disorders Clinical Practice 4(1):1220

That lack of energy is known as fatigue, and dealing with it all the time can affect your ability to feel motivated about doing anything, even getting out of bed

The BSH took on board what we had to say and issued a new guideline that is a much better approach for patients and medical professionals during the current lock-down