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Many patients with neurologic signs of vitamin B12 deficiency do not have readily detectable hematological abnormalities, such as megaloblastic anemia (also known as macrocytic anemia) or neutrophils with hypersegmented nuclei (151
Regular exercise, maintaining a healthy weight, avoiding smoking, and practicing good posture can help manage symptoms
However, excessive exercise, particularly endurance training, can elevate cortisol and compete with hair follicles for nutritional resources
Status Not FDA-approved
Nosyreva ED, Huber KM (2005)
Pure structural issues like severe disc extrusions or spinal stenosis show much more limited response
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