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Muscle Weakness: Reduced muscle strength and coordination may occur

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Expert Review of Gastroenterology & Hepatology

However, studies suggest that supplementing with B12 does not reduce the risk of developing dementia or Alzheimers disease in older adults, or slow its progression

Between uses, the vial septum should be protected from contamination, and proper aseptic technique should be used for each withdrawal

This test should be used in conjunction with serum B12 and MMA and not as a sole measurement (11, 12)