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In addition to fatigue, a deficiency of B12 can lead to other symptoms like pale skin, headaches, depression, gastrointestinal problems, difficulty concentrating, decreased mental function, mouth and tongue pain or inflammation, and paresthesia in your hands and feet

doi: 10.1038/s41396-020-0651-1 67 Alva-MurilloNLpez-MezaJEOchoa-ZarzosaA

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Their collective list includes the following: electronic health record (EHR) systems (with a time stamp) and electronic signatures, other electronic means, facsimile sheets/logs, paper records and paper logs (for example, physicians providing signatures at the nursing desk in a facility), electronic date stamps, call logs, tracking forms, and those POCs hand delivered to physicians (including to physicians in their offices or during weekly rounds in the facility)