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Not for Certain Individuals Contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2)

Some of the common signs of vitamin B12 deficiency in skin and nails include: Pale or dull complexion Pigmentation or uneven tone Hair thinning and slow growth Weak, brittle, or bluish nails Tingling in hands or feet If you notice these changes, its worth checking your B12 levels

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We believe that excluding patients from the measure would violate its intent to ensure timely access to emergency care for all patients