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In later stages, sensation and muscle loss may lead to the inability to perform even the simplest of tasks such as buttoning a shirt, tying shoes, or grasping a cane or walker

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Others do everything they are told, watch their labs improve, and still feel exhausted, foggy, anxious, or flat

Our plasma b12 becomes depleted without having frequent injections and we become symptomatic very quickly

doi:10.3945/jn.114.197533 Elsawy, Gehan, Osama Abdelrahman, and Amr Hamza