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Its imperative to recognize the serious consequences of untreated B12 deficiency, underscoring the importance of seeking medical advice when suspicion arises

Doctors can prescribe it off-label through compounding pharmacies in some cases

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This astrocyteneuron lactate shuttle (ANLS), initially hypothesized by Pellerin and Magistretti, holds that BBB cells take up blood glucose via astrocytic/endothelial GLUT1 transport, allowing cerebral lactate buffering by astrocytic glycogen stores [56]

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