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[DOI] [PubMed] [Google Scholar] 20.Simons LA, Ortiz M, Calcino G

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Administration and Dosage Vitamin B12 Injection Administration Vitamin B12 injections are typically administered by healthcare professionals, although some individuals may be trained to self-administer the injections at home

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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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