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Success rates vary, but some studies report long-term relief

Another element that plays a role in myelopathies caused by B12 deficiency is the disturbance of neuronal lipid and protein synthesis, which includes fundamental elements such as myelin proteins that create myelin sheaths in the spinal cord and peripheral nervous system (PNS) [83]

Effect of laparoscopic proximal gastrectomy with doubletract reconstruction vs total gastrectomy on hemoglobin level and vitamin B12 supplementation in upperthird early gastric cancer: A randomized clinical trial

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For many people, it comes on suddenly, overnight, or within the first minutes of waking up, with no apparent cause