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doi: 10.15585/mmwr.mm7320a1, 4

Similarly, when the kidneys are damaged, especially when the glomerular filtration rate (GFR) decreases, it can also lead to a reduction in the excretion of catecholamine metabolites, further intensifying the accumulation of these metabolites in the body (156)

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Summary: Vitamin B12 supplementation does not directly cause joint pain, and no established causal link exists in medical literature
