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This distinction matters because peptide research literature groups these three under related but non-identical categories

Possible complications heart failure severe neurological deficits gastric cancer type 1 diabetes rheumatoid arthritis myasthenia gravis (a chronic condition causing muscle weakness) Hashimotos disease (an autoimmune condition affecting the thyroid) A pregnant or nursing person with a B12 deficiency When a person receives treatment for a B12 deficiency, they generally recover well and cease to have symptoms, although they may need to continue to use B12 nutritional supplements

Response: We disagree that this measure is redundant as the purpose of the discharge summary is to meaningfully convey post-surgery instructions to patients

For sick cats the most important thing B12 does is give them their appetite back and just generally make them feel better

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