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doi:10.20452/pamw.4287 Orme R, Judge HM, Storey RF

Clinical Presentation of Subacute Combined Degeneration in a Patient With Chronic B12 Deficiency

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Age-related hearing loss, methylmalonic acid, and vitamin B12 status in older adults

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Many patients have successfully learnt to self-administer B 12 by intramuscular injection, which reduces both healthcare costs and burden on GP practices, and allows people who are B 12 deficient to optimise their treatment regimen.6566 Case example A man in his 70s presents with a nine month history of difficulty walking and climbing stairs, numbness and pain in his lower limbs, and paraesthesia in his hands