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In the latter case report, the authors described neurological signs (dull mental status, low menace response, reduced facial sensibility, reduced postural reactions), normal urinary MMA, and hyperintense, bilaterally symmetrical, diffuse lesions on a magnetic resonance imaging (MRI) exam

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Others won’t, they simply may not know that diagnosing B12 deficiency for the person is key to being able to access B12 from their GP as there is usually a lifelong need and having regular B12 injections from a private clinic would may not be financially sustainable