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Only about 17% of patients under 10 years of age are found to have neuropsychiatric symptoms at presentation, whereas in patients presenting after 18 years of age, 74% experience neurologic manifestations.2,20 It is usually after 10 years of age that patients may manifest evidence of involvement of the other organ systems such as renal, hematologic, and endocrine (Figure 252)

At Perfect B, the decision to prescribe them together versus as standalone protocols depends on the patients injury profile, the acuity of the damage, and the timeline for recovery

Unless you know this happens, and do something to intervene

The sneaky nature of B12 deficiency makes it particularly dangerous