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Diagnosis of hyperpigmentation due to vitamin B 12 deficiency was established

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We continue along a scenic route passing through Ccoya, Lamay, and Calca , arriving in Urubamba for a buffet lunch featuring traditional Andean dishes

Vitamin B 12 -responsive severe leukoencephalopathy and autonomic dysfunction in a patient with normal serum B 12 levels J Neurol Neurosurg Psychiatry 2010;81:1369-71

People who have conditions that make absorption difficult are also good candidates for B12 shots
