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If you have had COVID-19 and never fully recoveredif the fatigue, brain fog, shortness of breath, joint pain, or nervous system symptoms have lingered for months or even years you are not imagining it

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For instance, if a person has a history of allergic reactions, it is important that family members, friends and physicians are aware of the same

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22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity