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Yes and this is one of the most common reasons patients come to Sacramento Naturopathic Medical Center for B12 injections

It remains banned in professional sports by the World Anti-Doping Agency (WADA) but is available for research purposes and in select wellness clinics

Elevated MMA levels in patients with vitamin B12 deficiency can contribute to myelin damage (myelopathy) and, consequently, peripheral and autonomic neuropathy ( Cobalamin deficiency can lead to neurological manifestations such as progressive axonal demyelination, impaired peripheral and sensory nerve function, areflexia, loss of proprioception and vibration sensitivity, and subacute combined spinal cord degeneration (70)

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