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When I met with the editor of the BNF a year or two again she told me that any change in the treatment would have been based on evidence based research

Vitamin b12 deficiency symptoms can include peripheral neuropathy (numbness and tingling in the hands and feet), problems with balance and coordination, memory loss, trouble concentrating, changes in mental status, and depression, among other symptoms

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Editorial Advisory Board Member, Harvard Health Publishing What is vitamin B 12 deficiency