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Untreated vitamin B12 deficiency may result in subacute combined degeneration of spinal cord or irreversible neuropathy, which may occur in the absence of megaloblastic anaemia

What I mean by this is that, when determining what we can and must do to initiate change, it becomes important to consider the different sites at which change can occur

Thats number one

Understanding the underlying cause of symptoms is crucial for developing an effective treatment plan that addresses both the immediate concerns and the long-term health of the patient

Services are subject to candidacy, health history, allergies, medications, pregnancy status, provider guidance, and appropriate expectations

Imaginemos que tenemos insuficiente B12: la homocistena se acumular de manera anormal, la Metionina Sintasa no funcionar bien, y adems podemos tener el fenmeno de la trampa de folatos (el METIL-THF no pasar correctamente a THF!) y tendremos problemas en la divisin celular y en la sntesis de ADN, que resultarn en procesos megaloblsticos cursantes con anemia