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Quality control for the neurodevelopmental tools All methods that will be used to measure neurodevelopment have been translated, adjusted and/or piloted in previous studies at the current study site

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Vitamin B12 and Folic Acid Improve Gross Motor and Problem-Solving Skills in Young North Indian Children: A Randomized Placebo-Controlled Trial

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Neurological symptoms often develop gradually and may include: Paraesthesia : tingling or 'pins and needles' sensations, typically starting in the feet and hands Numbness : reduced sensation in the extremities, which may affect balance and coordination Burning pain : particularly in the feet, often worse at night Weakness : muscle weakness and difficulty walking Balance problems : unsteady gait and increased fall risk due to proprioceptive impairment Cognitive changes : memory problems, confusion, difficulty concentrating, and mood disturbances Haematological signs may accompany neurological symptoms and include fatigue, weakness, pallor, and shortness of breath due to megaloblastic anaemia

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A balanced lifestyle helps amplify energy levels, improve endurance, and achieve long-term metabolic health

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Many of our patients at Royal Palm Beach Medical Group report feeling more energetic and less tired after starting B12 injections

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