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Prolonged B12 deficiency can lead to severe neurological damage, including numbness, tingling, memory problems, and difficulty walking
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The injection of methylcobalamin poses little risk and produces few common adverse effects
Diarrhea, while not a neurological symptom, can present because the rumen is not functioning properly

Annual influenza vaccination is recommended for all immunosuppressed patients, although vaccine efficacy may be reduced, particularly in those on anti-TNF therapy[1]
