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10.1001/jama.1944.02850040007002 14

Knowing why people might not get enough B12 is important

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A comprehensive diagnostic workup includes most, if not all, of the following procedures: Electrodiagnostic tests including electromyography (EMG) and nerve conduction velocity (NCV) Blood and urine studies including high resolution serum protein electrophoresis, thyroid and parathyroid hormone levels and 24-hour urine collection for heavy metals Spinal tap X-rays, including magnetic resonance imaging (MRI) Myelogram of cervical spine Muscle and/or nerve biopsy A thorough neurological examination These tests are done at the discretion of the physician, usually based on the results of other diagnostic tests and the physical examination