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Given that MRI was only repeated at 3 months, the relationship between early BML improvement and longer-term symptom trajectories remains uncertain

A muscle spasm (Charley horse) can cause sudden, sharp pain, tightness, and involuntary muscle contraction, ranging from mild discomfort to intense pain

Because vitamin B12 contains the mineral cobalt, compounds with vitamin B12 activity are collectively called cobalamins [1]

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In other words, Cbl deficiency neurological symptoms can manifest as myelopathy, axonopathy, neuropathy, vision impairment, and paresthesia [79, 81]