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Schmidt L, Duh F-M, Chen F, Kishida T, Glenn G, Choyke P, et al

Acta Neurol Taiwan 2005;14:4854 Talaei A, Siavash M, Majidi H, Chehrei A

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Together, they may accelerate recovery from soft tissue injuries, surgeries, or overtraining

High-Risk Profiles The threshold for testing should be lower if the individual falls into any of these categories: Age 60 or older Long-term use of metformin or proton pump inhibitors (PPIs) Strict vegetarian or vegan diet Family history of pernicious anemia or autoimmune disease Key Clinical Symptoms Neurological and cognitive: tingling, numbness, or a "pins and needles" sensation in the hands or feet