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Evidence from observational studies suggests that with longer symptom duration and more profound B 12 deficiency, the likelihood that neurological symptoms will not completely resolve increases.28 People often continue to experience mild neurological symptoms such as poor memory, impaired concentration, and fatigue even after adequate B 12 replacement (eg, therapy according to the BNF suggested treatment regimen)91729 and many patients report they need additional treatment

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Some evidence also suggests potential benefits for metabolic dysfunction-associated steatotic liver disease (MASLD, formerly known as NAFLD), a common comorbidity in obesity

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Reitman evaluates each patient's symptoms and health history before recommending injection frequency
