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As I mentioned, the NICE guidelines are not legally binding but ignoring or failing to adhere to NICE guidelines when making decisions about patient treatment could lead to legal consequences

Beyond diet, researchers have identified a pattern of elevated plasma homocysteine levels in South Asians, even when reported B12 intake appears adequate

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B12 injections provide benefits such as improved red blood cell production, enhanced neurological function, DNA synthesis support, energy metabolism, and potential mood regulation

Optic nerve damage: Particularly in individuals with Leber's disease, a hereditary condition that causes retinal degeneration and blindness in children

Also, individuals who use some long-term drugs against acid reflux or diabetes become deficient