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In the nervous system, B12 deficiency causes symptoms affecting the nerves (numbness, tingling, tremors, balance problems) and the mind (depression, brain fog, mood swings, and, in rare cases, hallucinations and psychosis)

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Management Upon presentation, the patient should be thoroughly assessed

While TRT can significantly improve quality of life by addressing issues like fatigue, mood swings,

Additionally, PF treatment elevated the expression of liver kinase B1 (LKB1) and AMP-activated protein kinase (AMPK), which promoted PF-enhanced autophagic activity