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Protein & Lipid synthesis Nerve cell maintenance & nerve sheath(myelin) maintenance Maintaining growth Methylations Brain function maintenance Choline synthesis Maintains epithelial & mucous membrane cells Maintains normal bone marrow Maintains normal gastrointestinal tract Symptoms of Vitamin B12 Deficiency Early symptoms of a B12 deficiency may be overlooked, diagnosed as another illness, or attributed to just getting older because many of them mimic classic signs of aging

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These reasons, while understandable from a procedural standpoint, can be clinically and emotionally detrimental to a patient with Pernicious Anemia who is symptomatic and in need of treatment

If done too early, there can also be overlap of doses which may increase potential for side effects if the prior round hasnt fully worn off yet