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More specifically, it causes the active forms to convert to cyanocobalamin, causing a functional deficiency

Specific treatments may include the following: Adjustments in gait (the way a person walks) Improved mobility of sacroiliac joints, the points where the spine and pelvis connect Stretching to relieve tight piriformis muscles and those surrounding the hip Strengthening of the hip abductors (muscles that move the hips outward from the body) Soft tissue mobilization and myofascial release to help reduce muscle pain Surgery Complementary Therapies Several complementary therapies can provide relief from symptoms, including: Massage therapy : Targeted massage techniques can help relieve muscle tightness and alleviate pain

Alcoholism, malabsorption, prolonged stress, tapeworm infestation, vegan diets, celiac, hyperthyroidism, hepatic-biliary tract disease, persistent diarrhea, ileal resection, pancreatic cancer, renal disease, macrobiotic diets or other restrictive diets
