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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
Energy levels, mood, and cognitive function generally continue improving throughout this period
Upon receiving the medication, it should be stored in a refrigerator at 36F to 46F (2C to 8C)
These include targeted action on the central nervous system, excellent bioavailability, and the rapid onset of systemic effects
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