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Assessment may consider: Symptoms, when they started, whether they are progressing and whether neurological symptoms are present

Certain groups are more likely to experience high vitamin B12 levels, including: Individuals receiving high-dose B12 injections or supplements, especially over a prolonged period 6

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Loss of LDAH associated with prostate cancer and hearing loss

Before initiating treatment, a comprehensive medical history review and consultation with a qualified healthcare provider remain essential steps

[10] Ultimately, the best time to take vitamin B12 is whenever you can take it consistently