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Some patients report feeling less energetic during the initial months of treatment, with gradual improvement as weight stabilizes and metabolic adaptation occurs

Your doctor will usually look at: Serum B12 levels Methylmalonic acid (MMA) and homocysteine (often elevated in early deficiency) Complete blood count (CBC) to assess for anemia Its especially important not to self-diagnose or supplement without testing, as B12 can mask How to Treat B12 Deficiency and Restore Skin Health

There are other differences between fibro and polymyalgia rheumatica: PMR patients have prolonged morning stiffness, which gets worse from lack of activity, and have pain especially in the shoulders, neck, and arms, which inhibits range of motion

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