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This case highlights that vitamin B12 deficiency can manifest primarily as deep sensory disturbance without typical upper motor neuron signs or radiological findings, particularly in older adults

For example, a patient comes to your primary care office complaining of worsening knee pain

Body composition changes usually appear within 68 weeks

A

As people age, the ability to absorb vitamin B12 from food often diminishes due to decreased stomach acid production

Lipotropic injections include amino acids that assist the liver in breaking down and removing fat, while B12 supports energy levels and overall metabolic processes