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If a significant deficiency is left untreated over time, some of this nerve damage can become permanent, which is why prompt evaluation matters

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Based on the obtained data of urinary creatinine, plasma creatinine, urine volume and body weight, glomerular filtration rate (GFR) was calculated according to the formula GFR = (Ucrea/SCr) * urine volume/body weight (Zhao et al., 2022)

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Patients with a history of intestinal surgery, strictures, or blind loops may have bacterial overgrowth that can compete for dietary vitamin B 12 in the small bowel, as can infestation with tapeworms or other intestinal parasites