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Giorgi Pkhakadze, MD, MPH, PhD GMJ News Desk Moderate Evidence A rare case of chyluria caused by an abnormal connection between the lymphatic and urinary systems has been documented in The New England Journal of Medicine, highlighting a diagnostic challenge that presents with characteristic milky-white urine

Some medications can reduce B12 levels

Talk to your care team if you notice any of these symptoms: Paler than usual skin Constant fatigue or weakness Increased heart rate Pins and needles sensations or numbness in your hands and legs Shortness of breath Blurry vision Confusion Mood swings or personality changes Adults need 2.4 mcg of vitamin B12 per day so where does it come from

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