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Tell your prescribing clinician so the baseline B12 level interpretation accounts for supplementation (a patient taking 1,000 mcg/day will have a falsely reassuring serum level even if tissue stores are low, because serum B12 reflects recent intake, not body reserves)

The mechanism by which these medications might theoretically affect sleep is not well understood, and current evidence does not support a direct pharmacological effect on sleep architecture or dream patterns

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