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We recommend that you seek advice from a health professional if you think you may have a vitamin B12 deficiency

The symptoms can be subtle initially and may overlap with manifestations of liver disease itself, making recognition challenging

Bickerstaffs encephalitis

We next examined immunovascular interactions in PBMCs isolated from patients with COVID-19 and found increased adhesion of PBMCs to human brain endothelial cells in the cohort with long COVID compared to unaffected individuals, which was heightened in the presence of TNF and only modestly affected by blocking antibodies against ICAM-1 and VCAM-1 (Extended Data Fig