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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Sanjay et al., 2022
Thus, by easing the impact obesity and type 2 diabetes have on the body, there is a positive "flow-on effect" to the kidneys
It helps to reduce oxidative stress and maintain immunity
Yes, providers often combine it with other wellness services
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