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10.2147/HP.S202775 131 SongQ.ChenY.WangJ.HaoL.HuangC.GriffithsA.et al (2020)

In this case, despite markedly low vitamin B12 levels and deep sensory impairment, there were no findings of anemia, upper motor neuron signs (such as hyperreflexia or a positive Babinski sign), or abnormal signal intensities in the posterior columns of the cervical spinal cord on MRI [7]

What You Can Eat and What You Can't You won't be eating much

In the UK, the standard NHS regimen for B12 deficiency without neurological involvement is hydroxocobalamin 1mg IM three times a week for two weeks

Weekly Dosing Schedule for the First Month After the first week, a weekly dosing schedule is used for the next month

The effect of vitamin B12 and folic acid supplementation on serum homocysteine, anemia status and quality of life of patients with multiple sclerosis