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This case highlights that vitamin B12 deficiency can manifest primarily as deep sensory disturbance without typical upper motor neuron signs or radiological findings, particularly in older adults

For many women, that picture includes: Hormonal imbalances low estrogen, testosterone, or thyroid function that independently slow metabolism and contribute to weight gain

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I went into this treatment as a hopeful skeptic and now I regret I didnt start it earlier

Baseline serum B12, homocysteine, methylmalonic acid, and folate levels influence initial response

Hence my order had been canceled