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Patients with pre-existing peripheral neuropathy might report changes in sensation during treatment

Cochrane Database of Systematic Reviews

While the injections can indeed improve energy levels in those with a deficiency, it is essential to note that they are unlikely to provide significant benefits for individuals with normal B12 levels

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[15] [18] For borderline results, additional tests such as methylmalonic acid, homocysteine, or holotranscobalamin may be considered

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