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Given the negative results of other laboratory tests, Hashimotos thyroiditis, a primary organ-specific autoimmune disease associated with positive ANA, may be the underlying cause of the patients positive ANA test

Vitamin B12 deficiency is a well-recognized cause of neurological symptoms such as paresthesia, cognitive slowing, and abnormal sensory perceptions, even in the absence of subacute combined degeneration (SCD) of the spinal cord

Enhances Mood and Mental Health: B12 plays a role in synthesizing neurotransmitters, which can improve mood and reduce symptoms of depression and anxiety

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