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Description
These may indicate subacute combined degeneration of the spinal cord, which requires immediate treatment with intramuscular hydroxocobalamin injections and possibly specialist referral
10 Ter Meulen BC, Maas ET, Vyas A, et al

It is also important to remember that not every tired or low-energy feeling is caused by B12

White matter is made up of the nerve fibers that allow different parts of the brain to communicate

Diseases of the nervous system due to nutritional deficiency

Still, no treatment is right for everyone, and honest information matters
