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Description
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 (Green et al., 2017)
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Signal Transduct Target Ther 991):234

The critical period for refrigeration begins only after the vial has been punctured for the first time
