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At the same time, it was agreed that symptoms affecting the central nervous system (mental function and neurological function), followed by those affecting the peripheral nervous system, are the most difficult symptoms to link to B12 deficiency (Figure 1), suggesting the need for more specific awareness in a primary medical care setting and an improvement in examination options

Notes 1 Electron microscopy or special staining needed for a definitive diagnosis

Call poison control right away if you think your child may have gotten into a medicine or vitamin, or even if you are not completely sure

Evidence strongly favors a slow approach

So you are optimally supplied with selenium