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Here is what you should do during treatment: Speak to your doctor if something does not feel right Keep track of any new or unusual symptoms Go to your follow-up appointments as advised These check-ins are important to help your doctor make sure the treatment is working well and adjust things if needed

National Institutes of Health, Office of Dietary Supplements

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The appearance of motor symptoms is indicative of subacute combined degeneration involving the dorsal and lateral spinal columns

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Journal of geriatric psychiatry and neurology , 18 (1), 3338