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This is, unfortunately, a common occurrence as we age Vegan or vegetarian diet as most B12 foods are from animal sources Excessive alcohol consumption Toxic metal exposure Some Auto-immune conditions Certain genetic polymorphism Some medications like antacids, anti-histamines, and some blood-sugar-lowering drugs

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The treatment group showed a significant change in NIHSS scores across admission, 24 hours, and discharge time points compared to the control group

Lanjewar D, Katariya R, Kale V et al (2025) Interplay of neuropeptide Y and autophagy in Alzheimers disease: therapeutic perspectives and mechanistic insights

While B12 injections are a powerful tool, they arent always the only or best answer