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It is to note that in the above studies explored the regression of the clinical manifestations (especially neurological signs) there was no relevant difference in the efficacy of oral or IM vitamin B12 administration [21,22,24]

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Consider this: Over the course of two months, a 62-year-old man developed numbness and a "pins and needles" sensation in his hands, had trouble walking, experienced severe joint pain, began turning yellow, and became progressively short of breath