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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances ( Subclinical B12 deficiency, however, is far more prevalent, affecting up to 26% of the general population
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It is naturally produced in the gut in response to food intake and helps stimulate insulin secretion while slowing gastric emptying
Rashes, hives, or allergic reactions to the skin
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