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Cognitive Decline Could Affect More People Than Expected MRIs revealed a higher volume of lesions in the participants white matter, which may be associated with cognitive decline, dementia or stroke

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In this study, the dosage was 5001000 mg per day for 4 days, then two injections every week for a month, and then one injection every two months as a maintenance dose

[1] [13] When B12 levels are borderline or clinical suspicion remains high despite normal B12, additional tests include: Holotranscobalamin (active B12) , which may be more sensitive in early or borderline deficiency Methylmalonic acid (MMA) and homocysteine levels, which become elevated in functional B12 deficiency (note that MMA is also elevated in renal impairment, and homocysteine rises in folate and B6 deficiency) Full blood count to identify macrocytic anaemia (elevated mean cell volume) Blood film examination may show hypersegmented neutrophils and megaloblastic changes Serum folate should be checked concurrently, as deficiencies often coexist Investigating the underlying cause is essential for appropriate management