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It is important to note that whilst the injection itself may maintain adequate B12 levels for weeks to months, the clinical benefits such as improved energy, cognitive function, and resolution of neurological symptomsdepend on consistent maintenance of optimal levels

In addition to hallmark motor symptoms, it manifests a wide range of nonmotor complications, including cognitive decline, neuropsychiatric symptoms, autonomic dysfunction, and comorbid metabolic and infectious diseases

Chen X, Liao B, Cheng L, Peng X, Xu X, Li Y, et al

Hormones An unbalance of female hormones caused by periods, period irregularity, pregnancy, menopause, birth control pills can cause pigmentation