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Total Time: 45-60 minutes Frequency: Typically 1-2 sessions weekly initially, then maintenance every 4-6 weeks

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Residual disability, estimated to affect 6% of neurologic patients, is the most feared outcome of cobalamin deficiency and is likely to persist if still present after 6 to 12 months of treatment

Management typically includes increasing intake of B12-rich foods, using high-quality B12 supplements, and in some cases receiving B12 injections prescribed by a healthcare provider

HT is diagnosed more frequently in Caucasians, whereas Pacific Islanders and individuals of African descent show lower prevalence rates

PMID: 176 GavinPGMullaneyJALooDCaoK-AGottliebPAHillMMet al