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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]

This is important because some individuals, especially those with specific health conditions (like genetic mutations or absorption issues), may have difficulty metabolizing regular B12

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Aliquoting for extended storage Some researchers aliquot their reconstituted solution into single-use portions to minimize the number of times they pierce the vial stopper