A differential for the myelopathy would include various metabolic, toxic, immunologic, and infectious disorders, such as copper deficiency myelopathy (possibly precipitated by zinc toxicity), folate deficiency myelopathy, vitamin E deficiency myelopathy, nitrous oxide toxicity, HIV-related vacuolar myelopathy, HTLV-1-associated myelopathy, neurosyphilis, and possibly Lyme disease
The aim is to restore vitamin B12 to a healthy level and then maintain it safely. Doctors usually determine dosage based on blood test results
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You can also read about Vitamin B12 Injection: Complete Guide and Its Beneficial
Vitamin B12 plays a vital role in regulating homocysteine levels