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Mutations in the transcobalamin gene can cause a deficiency
Yes, fatigue and neurological symptoms can occur before anaemia develops, and some patients have normal haemoglobin levels despite B12 deficiency
That is perfectly fine
In the emergency room, treatment for severe migraines may involve intravenous medications, such as anti-inflammatory drugs or analgesics, to provide fast-acting pain relief
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[2] Neurological manifestations include subacute combined degeneration of the spinal cord and peripheral neuropathy (in the form of glove and stocking paraesthesia and trichodynia)
