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However, one study reported that children and adults with normal to elevated levels of serum vitamin B1 had many symptoms normally associated with vitamin B12 deficiency, including fatigue, depression, anxiety, lack of motivation, poor memory, fuzzy thinking, peripheral neuropathy and difficulty sleeping

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treatment should take place every 7 days for 3 weeks, then a monthly follow up shot for at least 3 months, then a follow up shot in 3 months time, dependant on exact level of symptoms

Travel: Use a small insulated bag with an ice pack

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