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doi:10.1159/000053183 Heffernan M, Summers RJ, Thorburn A, et al

The only fault I can find in the trial is a lack of reporting on the patients hand dominance and the magnitude of functional demand on their affected limbs

Since B12 is primarily found in animal products, those following a vegan or vegetarian diet often need supplementation to avoid a deficiency

Some medications also reduce B12 absorption (Sobczyska-Malefora et al., 2021) among the main ones are: metformin, proton pump inhibitors (PPIs), such as omeprazole, lansoprazole and esomeprazole, and H2-receptor antagonists, such as ranitidine, cimetidine, famotidine and nizatidine

low blood pressure that may cause dizziness, fainting, and/or falls