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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]

Kelly Clarkson has publicly stated that she used a combination of a protein-rich diet, regular walking, and a prescription weight loss medication to achieve her results

If you have sub-optimal levels with symptoms, its worth a trial of B12 even if your serum B12 levels are normal

Involuntary Muscle Spasms Involuntary muscle spasms can be caused by tight pelvic floor muscles

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