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In this case, despite markedly low vitamin B12 levels and deep sensory impairment, there were no findings of anemia, upper motor neuron signs (such as hyperreflexia or a positive Babinski sign), or abnormal signal intensities in the posterior columns of the cervical spinal cord on MRI [7]
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Research has found a link between low vitamin B12 levels and depression, and there are several mechanisms by which this vitamin may influence mental well-being: It is involved in the production of "feel-good" hormones such as serotonin and dopamine, which greatly influence mood