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Common neurological manifestations include: Paraesthesia (pins and needles) in the hands and feet Numbness and altered sensation Difficulty with balance and coordination (ataxia) Memory problems and cognitive impairment Mood changes, including depression and irritability In severe cases, visual disturbances and confusion These neurological features arise from demyelination of peripheral nerves and the spinal cord, a condition known as subacute combined degeneration when it affects the posterior and lateral columns of the spinal cord

[DOI] [PMC free article] [PubMed] [Google Scholar] 45.Kozlowski P, Raj D, Liu J, Lam C, Yung AC, Tetzlaff W

NOS inhibitor attenuation can support involvement of nitric oxide synthase activity, but it does not by itself identify the exact NOS isoform, the direct binding target of the peptide, or the full upstream signaling sequence

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These contain the full spectrum of B vitamins that all work together within the body to carry out functions and balance one another, hence the complex name this group is given

Gradual progressive improvement over weeks suggests beneficial response