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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Green et al., 2017)

Your baseline energy level risesnot dramatically, but noticeably

A loss of red blood cell production will create symptoms of low energy and the inability to concentrate

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Together they function as a two-phase system: signal and scaffold first, migration and sustained remodelling second

Your physician is here to help with any medical questions
