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Non-neurological features included congenital lactic acidosis, cardiomyopathy, hepatomegaly, kyphoscoliosis, optic atrophy, roving eye movements, strabismus, and distal renal tubular acidosis [55-58,60]

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Springer International Publishing, Switzerland

"William Shatner using 'magical' cannabis extract to treat 'aches and pains'"

They consider the patients health history, how severe the deficiency is, and any conditions that might affect how well the body absorbs B12