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Unexplained fatigue Unexpected bouts of fatigue or extreme tiredness are a common sign of a vitamin B12 deficiency

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One commenter stated that before we make any changes to the certification process, we should consider the roles and contributions of each health care provider involved in the patient's care plan and ensure that the physician is still the head of the care team, while not hindering access to needed therapy

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One is usually seen as more targeted, the other as more systemic, so using both is meant to cover more recovery pathways