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7 (12 percent) contained banned ingredients, including various stimulants and several unapproved drugs: omberacetam, octodrine, oxilofrine, and deterenol, and 1,4-dimethylamylamine

Importantly, many of these symptoms can occur even with normal B12 blood levels, which brings us to a critical point in diagnosis, where it becomes crucial for clinicians to pay attention to the signs and symptoms rather than the blood tests alone

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