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These findings underscore the growing burden of vitamin B 12 deficiency and highlight the need for routine screening, early detection, and prevention strategies to potentially mitigate its impact on healthcare systems

These can help provide the nutritional requirements that help maintain healthy blood flow and increase production of the myelin sheath, the substance that insulates and protects nerves

Long-Term Monitoring and Follow-Up Care on the NHS NICE CG189 and BOMSS advise structured blood monitoring every three to six months in the first year, reducing to annually once levels are stable, covering FBC, B12, folate, vitamin D, iron stores, and calcium

The renal injury parameters including 24-h urinary protein, blood urea nitrogen and serum creatinine were assessed