deficiency causes demyelination affecting sensory and motor nerve pathways Common presentations include peripheral neuropathy (glove-and-stocking paraesthesia), unsteadiness, cognitive impairment, and mood changes Neurological symptoms can occur before anaemia develops and may not correlate with serum B12 levels UK treatment for neurological involvement requires hydroxocobalamin 1 mg intramuscularly on alternate days initially, then every two months Treatment should not be delayed whilst awaiting test results when neurological B12 deficiency is suspected, as delays risk permanent damage At-risk groups include older adults, vegans, post-bariatric surgery patients, long-term metformin users, and those exposed to nitrous oxide Table of Contents Not sure where to start
Fibromyalgia - The widespread muscle pain, joint stiffness, and tender points associated with fibromyalgia can be directly caused by the inflammatory effects of mycotoxins
Acta Neuropathol 120(2):131143
Since the liver is responsible for filtering toxins, glutathione acts as an antioxidant to protect liver cells from oxidative stress, contributing to a healthier liver and better overall bodily function
