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deficiency causes demyelination affecting sensory and motor nerve pathways Common presentations include peripheral neuropathy (glove-and-stocking paraesthesia), unsteadiness, cognitive impairment, and mood changes Neurological symptoms can occur before anaemia develops and may not correlate with serum B12 levels UK treatment for neurological involvement requires hydroxocobalamin 1 mg intramuscularly on alternate days initially, then every two months Treatment should not be delayed whilst awaiting test results when neurological B12 deficiency is suspected, as delays risk permanent damage At-risk groups include older adults, vegans, post-bariatric surgery patients, long-term metformin users, and those exposed to nitrous oxide Table of Contents Not sure where to start
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Gives me so much energy, balance, better sleep and helps with anxiety
The Different Forms You Will See Not all oral B12 is the same, and this matters when you are weighing B12 injections vs pills
It was really relaxing to an extent after dealing with kids all day, I was able to lay down and just kind of get those extra little areas taken care of
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