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In addition to epilepsy, generalized developmental delay, coma, tachycardia, generalized hypotonia, profound hypotonia, microcephaly, active tendon reflexes, and loss of tendon reflexes may be present

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Deficiency of B12 can therefore lead to the destruction of the myelin sheaths, triggering a range of sensations: from tingling or numbness, especially in the hands and feet, to chronic pain and irreparable paralysis
