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Vitamin B12 (cobalamin) deficiency can produce a wide spectrum of neurological manifestations, ranging from subtle sensory changes to severe, potentially irreversible nerve damage

Additionally, patients may experience secondary systemic symptoms such as confusion, tendon reflex hyperactivity, reversible dementia, mood swings, psychotic symptoms, and hypertension,

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The compound works at the cellular level, requiring time for metabolic changes to translate into visible physical improvements