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It is essential for the production of myelin, a protective layer around nerves that helps transmit signals efficiently in the brain
The condition sneaks up on patients, often with subtle early symptoms that can be easily mistaken for the common fatigue of everyday life

Oral versus intramuscular cobalamin to treat cobalamin deficiency: noninferiority randomised controlled trial, pragmatic and multicenter in the primary healthcare setting (OB12 project)

26,74 It is thought damaged hair cells release excessive amounts of glutamate, the main excitatory neurotransmitter, causing dysfunctional nerve activation that can result in tinnitus
