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It's not always the case but it does come to mind

Tracey Witty Patient survey False normal B12 results and the risk of neurological damage Professor David Smith and his team have previously shown that high levels of homocysteine and low levels of vitamin B12 were both related to a faster shrinkage of the whole brain (global atrophy)

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However, if there are neurological symptoms that have arisen due to B12 deficiency, they could take up to three months to improve, with mild improvements occurring in the first six weeks