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[2] [16] Dietary deficiency without neurological features: Initial loading doses followed by maintenance therapy, with consideration of oral supplementation in appropriate cases

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Common co-existing autoimmune conditions include: Hashimotos thyroiditis (most common) Vitiligo Rheumatoid arthritis Psoriasis Graves disease Coeliac disease Type 1 diabetes Approximately one-third of patients also report a family history of Pernicious Anaemia or other autoimmune diseases, suggesting a genetic predisposition