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Motor : muscle weakness, ataxia, reduced reflexes (if peripheral neuropathy) or increased reflexes and/or upgoing plantars (if central neuropathy)

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[DOI] [PMC free article] [PubMed] [Google Scholar] 67.Barras D, Chevalier N, Zoete V, Dempsey R, Lapouge K, Olayioye MA, et al

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Given the array of symptoms a vitamin B 12 deficiency can cause, the condition can be overlooked or confused with something else

Rushing this process, skipping dose levels, or starting at a higher dose to accelerate weight loss dramatically increases side effect severity