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Not only that, but often the form of B12 that these patients get is either cyanocobalamin or hydroxycobalamin

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The patients chronic, nonspecific symptomsincluding fatigue, musculoskeletal pain, paresthesia, cognitive disturbances, and optic neuritiswere misattributed to multiple conditions for nearly a decade, with the absence of classic hematologic findings further complicating the diagnosis

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