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It's the difference between a functional 1mg dose and a degraded 0.6mg dose that won't produce results

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Medications that were reliably available a year ago now occasionally sell out, especially at popular doses

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In some cases, the dementia and other neurologic symptoms caused by vitamin B 12 deficiency can be reversed by vitamin treatment (42), but reversibility seems to be dependent upon the duration of the associated neurologic complications (41)