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doi:10.1161/CIRCOUTCOMES.113.000663

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
By taking the time to understand the math, perfect your sterile technique, and respect the delicate nature of these compounds, you set your research up for success

& Karaman, R

Some patients also experience mild diarrhea, swelling, or itching
The tirzepatide with B12 guide explains the rationale
