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Neurological symptoms such as paraesthesia, ataxia, and cognitive impairment can occur before haematological changes and may become irreversible if treatment is delayed
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Deficient vitamin B12 levels may also lead to damage in the tiny blood vessels in the ear
PMC 11448733
you need to get it from food or oral supplements
In normal physiology it participates in hepatic fat processing and methylation reactions, and it contributes to the livers handling of triglycerides and cholesterol
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