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Vitamin B12 Injections Intramuscular injections are the standard treatment Initial loading phase followed by maintenance doses Often required for life Oral Vitamin B12 High-dose oral supplementation may be effective in some patients Suitable for those who cannot tolerate injections Monitoring Regular blood tests Neurological assessment Monitoring response to therapy Most patients experience rapid improvement in symptoms after starting treatment

Available from: [DOI] [Google Scholar] 70.Kharaziha M, Baidya A, Annabi N

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N., and Pinto A., Vitamin EInduced Changes in Glutamate and GABA Metabolizing Enzymes of Chick Embryo Cerebrum, International Scholarly Research Notices 2013 (2013): 18