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Vitamin B12 deficiency is a notable reversible cause that can take years to manifest in adults due to stored reserves

But beware, there is a tendency for the doctor to think the more symptoms a person reports, the more likely the cause of the symptoms is psychological

The blood pressure reduction is tied to correcting deficiencies in minerals like magnesium and potassium and vitamins, which play a key role in blood pressure regulation

Sources Vitamin B12 can be obtained from animal-derived foods such as meat, poultry, fish, dairy items, and eggs

In the context of the autonomic nervous system, demyelination can disrupt the signals that control heart rate and blood pressure, contributing directly to the symptoms of dysautonomia

therefore, it should never be delayed