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The distinction matters because treatment differs: intrinsic factor deficiency requires parenteral B12, whilst dietary deficiency often responds to oral supplementation or dietary modification

The frequently low cobalamin levels in dementia usually signify treatable metabolic, neurologic and electrophysiologic abnormalities

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Early intervention significantly improves outcomes and can prevent irreversible nerve damage

When a serious bleeding disorder is ruled out, were happy to provide reassurance. Advertisement Sign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more

Part of that is the relief of taking action, and part is physiological