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As such, having inadequate B12 levels can decrease normal red blood cell production, which can impair oxygen delivery ( Specifically, a deficiency in B12 can cause megaloblastic anemia

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When paired with strength training and adequate protein, it does not appear to cause muscle loss

In general, when encountering neurodegenerative disease, epilepsy, or dystonia, together with neuroimaging showing basal ganglia changes should be considered as a possibility of BTBGD [68]

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