This is caused by the lack of B12 in our body
Its like wondering if you have a flat tire, but instead of leaving your car to check, you rely on the wobbly handling of your car on the road to indicate that you probably have a flat tire
References Aarsland D et al (2021) Parkinson disease-associated cognitive impairment
This depends on your personal situation, how low your vitamin B12 levels are intracellularly, what kind of medical conditions you have, and how much improvement you get from the B12 shots
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Health groups also say some seniors might need more Vitamin B12