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Description

In the CNS, thiamine deficiency can lead to Wernickes encephalopathy, characterized by nystagmus, ophthalmoplegia, mental status changes, and unsteady stance and gait, due to apoptotic cell death in sensitive brain areas, mainly areas with high metabolic requirement, causing symmetrically distributed lesions among structures such as the third and fourth ventricles, besides dorsomedial thalamus (, , )

Some people notice mild side effects like redness, slight soreness, or light-headedness, but these usually fade quickly

We recommend discussing with us the frequency of injections

To support identifying the cause of vitamin B12 deficiency, doctors need to inquire whether the person adheres to a diet that is low in foods from animal sources and should ask the person about disease history, regular use of certain medications, and recreational use of nitric oxide