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MRI may show cerebral white matter atrophy, ventricular enlargement, periventricular gliosis, optic nerve atrophy, delayed myelin formation or dysplasia, cerebellar hypoplasia, cerebellar hemisphere atrophy, and hypersignal in the subcortical white matter [116, 117]
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UK guidelines recommend monitoring clinical response and full blood count (typically at around 2 months) to ensure treatment adequacy, rather than routinely rechecking B12 levels after replacement has started
Convenient B12 Injections: Maintain Your Health We provide high-quality vitamin B12 injections for patients who wish to maintain healthy levels of this important nutrient
The absence of cardiovascular effects, blood sugar impacts, or hormonal disruption means many concerns relevant to older adults are not applicable here
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