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The appearance of a pustular/papular rash associated with high levels of Vitamin B12 is well described in the medical literature even though the exact mechanism appears to be unknown

Some brands and types require refrigeration, while others are stable at room temperature

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Progressive Symptoms: Anemia, causing shortness of breath, dizziness, and increased heart rate: All of these symptoms may be brought on by a deficit that lowers the synthesis of red blood cells

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Imaging methods are useful in confirming the diagnosis of MN and excluding other causes of forefoot pain, such as metatarsophalangeal arthritis or intermetatarsal bursitis