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Elevated MMA levels in patients with vitamin B12 deficiency can contribute to myelin damage (myelopathy) and, consequently, peripheral and autonomic neuropathy ( Cobalamin deficiency can lead to neurological manifestations such as progressive axonal demyelination, impaired peripheral and sensory nerve function, areflexia, loss of proprioception and vibration sensitivity, and subacute combined spinal cord degeneration (70)

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Table of Contents: What do vitamin B12 injections do for you

Hashash JG, Regueiro MD

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Without it, the cells struggle to get oxygen, resulting in fatigue and decreased mental performance