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24 In a clinically symptomatic patient with specific features of B 12 deficiency, order a B 12 test, see Figure1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency* and/or Non- Specific** or Specific Symptom of B 12 Deficiency for more detail

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A more modern treatment is neurokinin receptor antagonists, which affect the temperature regulation center in the brain and are effective when treating hot flashes and sweating

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