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Cognitive symptoms, including memory problems and confusion, may show gradual improvement over three to six months, particularly in older adults

He also explains specific movement patterns

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Monitoring and follow-up Monitor clinically and repeat tests as indicated by the underlying condition Ongoing monitoring of liver function, renal function, and FBC as clinically indicated Regular review in primary care or specialist clinics for underlying conditions Patient advice: Patients should understand that elevated B12 is a marker requiring investigation rather than a condition requiring direct treatment

Concentrations usually range from 0.1-1% in most leave-on products