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Research has explored effects on cortisol release, neurotransmitter levels including serotonin and GABA, and autonomic nervous system tone

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Prompt parenteral (intramuscular) B12 treatment is recommended in such cases, in line with BSH guidance, to prevent further or irreversible neurological injury

Patients can reduce symptoms by eating smaller, more frequent meals, avoiding high-fat foods, and staying well-hydrated

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