Deficiencies can be observed more frequently, with older persons as well as vegetarians and especially vegans representing risk groups (Shipton and Thachil, 2015)
Sterile Water is purified sterile water without preservatives
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Deficiency can show up as fatigue, weakness, numbness/tingling, balance problems, memory issues, and megaloblastic anemia
Author Contributions Concept and design: Ryuichi Ohta, Yoshinobu Tabata, Junya Ohara, Yoshinori Ryu Acquisition, analysis, or interpretation of data: Ryuichi Ohta, Yoshinobu Tabata, Junya Ohara, Yoshinori Ryu Drafting of the manuscript: Ryuichi Ohta, Yoshinobu Tabata, Junya Ohara, Yoshinori Ryu Critical review of the manuscript for important intellectual content: Ryuichi Ohta, Yoshinobu Tabata, Junya Ohara, Yoshinori Ryu Supervision: Ryuichi Ohta, Yoshinori Ryu References 1.A comprehensive overview of subacute combined degeneration: MRI diagnostic challenges and treatment pathways
