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A deficiency in vitamin B12 has a significant impact on homocysteine levels, which is an amino acid that is linked to increased oxidative stress as well as potential liver damage

This is particularly relevant in tissues like tendons and ligaments, which naturally suffer from low blood supply

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Accuracy here is key

Symptomatic Management Cognitive Symptoms Cholinesterase inhibitors such as donepezil may provide modest benefit in vascular cognitive impairment, though evidence is less robust than in Alzheimers disease
