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For every young clinician: cultivate your examination skills as diligently as your technical skills
Measurement of serum vitamin B12 Initially serum B12 was measured by microbiological methods, using bacteria with relatively specific requirements for vitamin B12 for growth
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Niacin can also have an antagonistic effect on gout medications: it elevates uric acid levels, which may counteract drugs like allopurinol or pegloticase that are meant to lower uric acid
You might not see results for 3-6 months - but you'll be glad you stuck with it when you finally did
