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A simple serum B12 and methylmalonic acid level confirms the diagnosis and supplementation reverses the neuropathy if caught before permanent nerve damage occurs
If you are self-supplementing with high-dose B12 without medical indication, discuss this with your GP

This is primarily through the secretion of cytokines associated with type_2 IRs (Hendel et al

PMID: 210 JenaPKWakitaDGomezACCarvalhoTTAticiAENarayananMet al
