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People with depression can also experience severe sleep disturbances and sleep disorders like insomnia, as well as impaired cognitive function and memory problems

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Sensations often associated with joint pain include feeling achy, sore, or stiff in the joint, and has also been described as providing a burning, throbbing, or even a sensation of grating

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This article outlines an approach to interpreting and working up a high serum B12 in adults by separating four possibilities: intake-related elevation, disease-associated hypercobalaminemia (an elevated blood B12 associated with an underlying condition), analytical interference, and functional deficiency