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When B12 is deficient, demyelination occurs, particularly affecting the spinal cord's posterior columns (responsible for proprioception and vibration sense) and lateral corticospinal tracts (controlling motor function)

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Volume check: The total liquid volume in the vial should match the amount of water you added, plus the negligible volume of the dissolved peptide

Some compounding pharmacies also offer oral formulations, though absorption rates are lower with oral administration
doi: 10.1038/mi.2015.18
