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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances ( Subclinical B12 deficiency, however, is far more prevalent, affecting up to 26% of the general population

The bone marrow sample is examined in a laboratory to look for other causes of anemia and red blood cell abnormalities

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Its natural occurrence in the body also means established metabolic pathways for processing and elimination

This depends on your dose and is something you'll discuss with your clinician and clinical team in training