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Both vitamin B 12 (also known as cobalamin) deficiency and MS produce similar neurological symptoms, including numbness or tingling in hands and feet, vision loss, difficulty walking or speaking normally and cognitive dysfunction, such as problems with memory

doi: 10.1016/j.freeradbiomed.2013.01.018

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Consequently, the 2024 American Gastroenterology Association (AGA) Rapid Clinical Practice Update recommends that management should depend on upper gastrointestinal symptoms

Single-dose clinical studies done with doses above 40 IU have not reproduced the trend of previous studies in finding benefits of IN-OXT to ameliorate deficits in adult SZ