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6 8 23 24 25 However, in many people, neurological and neuropsychological or cognitive symptoms (box 1, fig 1) are the main presenting symptoms

Use this medicine even if you feel better to avoid irreversible nerve damage and recurrence of anemia

Monitor reactions and adjust protocols with your doctor if side effects persist

Slow titration schedules, typically adding one dose increment every four weeks, appear to reduce dropout rates due to gastrointestinal side effects

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This is critical for ensuring that damaged tissues receive an adequate supply of oxygen and nutrients, which accelerates the healing process