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Differentiating from Other Conditions Neurological signs and symptoms can be vitamin B12 deficiency associated or due to other causes such as: Pernicious anemia Syphilis Neurosyphilis Human immunodeficiency virus (HIV)-associated vacuolar myelopathy Toxic neuropathies Tropical myeloneuropathy Your healthcare provider can make a proper diagnosis based on your symptoms, medical history, physical exam, and laboratory test findings

Moreover, muscle biopsies from older athletic participants showed improved mitochondrial respiration compared to age-matched and physically impaired participants 331

PMID 33947914

Thus, a plant-enriched diet with whole grains and healthy fats is recommended

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