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Lisa Smart, Liberal Democrat MP for Hazel Grove, asked the Secretary of State for Health and Social Care, what steps his department is taking to improve the diagnosis of vitamin B12 deficiency and reduce the number of cases misdiagnosed as (a) dementia, (b) chronic fatigue syndrome, and (c) psychiatric conditions

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While direct cortisol measurements were not specifically reported in the published safety trials, the comprehensive metabolic monitoring across 900+ participants showed no clinically significant hormonal changes, and the mechanism of action provides no pathway for cortisol stimulation

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