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In the most severe cases of BPI, you may lose all function of your affected arm

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"Her GP gave her a course of 6 vitamin B12 injections" My understanding of UK guidance on treatment for B12 deficiency is that as neurological symptoms were present eg twitching, memory problems then the treatment should have continued beyond the 6 loading injections

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Excess cobalamin in the blood showed barely detectable binding to TC II (Andrs et al., 2013)