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The lack of B12 affects the production of red blood cells, leading to reduced oxygen transport and poor muscle function
A deficiency can lead to megaloblastic anaemia, a condition that causes symptoms like weakness and fatigue
We note the measure developer conducted testing to examine the need for risk adjustment to the measure for a set of factors such as patients self-reported health status, history of procedures, age, and education, and found there was not a significant relationship between the adjusted and unadjusted measure scores
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