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Compounded versions are prepared by licensed pharmacies under physician supervision, using bulk pharmaceutical-grade active pharmaceutical ingredients

Differentiating from Other Conditions Neurological signs and symptoms can be vitamin B12 deficiency associated or due to other causes such as: Pernicious anemia Syphilis Neurosyphilis Human immunodeficiency virus (HIV)-associated vacuolar myelopathy Toxic neuropathies Tropical myeloneuropathy Your healthcare provider can make a proper diagnosis based on your symptoms, medical history, physical exam, and laboratory test findings

Start with doses at the lower end of the dosing range

Producing healthy red blood cells, which carry oxygen Maintaining nerve cell health and neurological function DNA synthesis for cell repair and growth Metabolic processes and energy production A B12 deficiency can cause anemia, neurological symptoms, and cognitive changes, so keeping levels adequate is important at any age

however, this is entirely normal and will subside on its own

Each patients plan is unique, often combining rehabilitation, physical therapy, and nutritional support with any consideration of investigational therapies