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Abnormal heart beats can also be caused by other health conditions, including low or high blood pressure, hyper or hypothyroidism, anemia, heart attack, coronary artery disease, cardiomyopathy, diabetes, stress or anxiety, and long COVID-19, which is still being studied

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That volume requires dedicated staff, not a shared responsibility across medical assistants who are also rooming patients and handling phones

These include 1) congenital pernicious anaemia, where there is a genetic defect in IF synthesis, leading to B12 malabsorption, 2) Imerslund-Grsbeck Syndrome (IGS) caused by mutations in genes encoding cubulin and amnionless , 3) inherited HC or TCII deficiencies, and 4) intracellular cobalamin defects (CblA-CblG defects)