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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances ( Subclinical B12 deficiency, however, is far more prevalent, affecting up to 26% of the general population
Because we are a medical clinic, medically necessary treatment may be covered by plans such as Aetna, Cigna, Florida Blue, and Humana, and we are clear about self-pay costs upfront
What if Im not deficient
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People with known B vitamin allergies, active kidney or liver disease, pregnancy, or certain medication interactions should discuss these factors with a nurse practitioner before starting
(8) Long-term vitamin B12 deficiency can cause permanent nerve damage and neurological symptoms
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