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[4] Based on animal research, it is thought that the increased methylmalonyl-CoA hydrolyzes to form methylmalonate (methylmalonic acid), a neurotoxic dicarboxylic acid, causing neurological deterioration

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He was unable to stand or ambulate

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D51.3 Other Dietary Vitamin B12 Deficiency Anemia Use for B12 deficiency caused by dietary inadequacy, most commonly seen in strict vegans or vegetarians with no dairy or egg intake, and in elderly patients with poor nutritional intake

Vitamin B12 Overdose: Symptoms and Side Effects Vitamin B12 overdose occurs when someone takes too much of this vitamin, often from high-dose supplements or fortified foods