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Physicians should consider that vitamin B12 levels between 200 and 300 pg/mL (148 to 221 pmol/L) are considered borderline, suggesting a possible deficiency, and further testing with methylmalonic acid (MMA) and homocysteine may be necessary

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Symptoms vary widely depending on the location and severity of the herniation

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Symptoms of primary infection include flu-like symptoms, such as: Fever Body aches Sore throat Headache Swollen lymph nodes, usually near where the virus entered your body You may also get a single, painful, fluid-filled blister or a cluster of blisters on or around your lips or under your nose