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In rare cases, a long-standing B12 deficiency can affect the optic nerve, potentially causing blurred or double vision

It only calculates concentration and volume relationships

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Cells with adequate NAD+ respond more effectively to insulin, improving glucose uptake and reducing the likelihood of insulin resistance developing or worsening

[51] Diagnosis According to one review: "At present, no 'gold standard' test exists for the diagnosis of vitamin B 12 deficiency and as a consequence the diagnosis requires consideration of both the clinical state of the patient and the results of investigations." [52] The vitamin deficiency is typically suspected when a routine complete blood count shows anemia with an elevated mean corpuscular volume (MCV)