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Additionally, research should investigate how metabolic factors, such as insulin resistance and lipid profiles, interact with vitamin B12 to influence hormonal regulation

Vitamin B12 Injections Intramuscular injections are the standard treatment Initial loading phase followed by maintenance doses Often required for life Oral Vitamin B12 High-dose oral supplementation may be effective in some patients Suitable for those who cannot tolerate injections Monitoring Regular blood tests Neurological assessment Monitoring response to therapy Most patients experience rapid improvement in symptoms after starting treatment

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These guidelines need to be formally represented in a machine-readable way and to be iteratively integrated into the deep learning-based automated coding system