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Inactive Ingredients: Sodium chloride, hydrochloric acid (for pH adjustment), and water for injection
Sufficient intrinsic factor production
Subacute combined degeneration of the spinal cord a serious neurological condition affecting the posterior and lateral columnscan develop with prolonged deficiency, causing progressive weakness and sensory loss
He reports that most vegans show adequate B12 levels to make clinical deficiency unlikely, but they may show restricted activity of B12-related enzymes, leading to elevated homocysteine levels, which has been linked to increased risk of heart disease and stroke
[430 431] However, as ASCs are expected to have less varied populations, we believe the sample size of 200 completed surveys, as determined to be sufficient for the OAS CAHPS survey, is appropriate
"B12 deficiency with neurological manifestations in the absence of anaemia"
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