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To capture these unique features, Kulkarni and colleagues developed and validated the Meno-D rating scale, which includes domains of somatic, cognitive, self, sleep, and sexual function, thereby supporting its validity as a menopause-specific diagnostic tool [41]

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Assuming more is always better serum B12 above 1,000 pg/mL from supplementation is generally harmless, but persistently high B12 without supplementation warrants investigation for liver disease or myeloproliferative disorders [7]