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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 (Green et al., 2017)

Even though vitamin supplements are sold over the counter, any vitamin supplementation should always be discussed with a physician, says Gary Soffer, MD, a Yale Medicine allergist and immunologist who offers guidance on the safe use of dietary supplements, among other things, within the Integrative Medicine Program at Smilow Cancer Hospital

What are the risks of compounding Semaglutide at home

Taub et al