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This vitamin is essential for: Synthesis of neurotransmitters like serotonin and dopamine Maintenance of nerve cell integrity Formation of the protective myelin sheath around nerves Reduction of homocysteine (elevated levels are associated with cognitive decline) Studies have linked adequate B12 levels to better cognitive performance, particularly in memory, reasoning, and processing speed

Physical therapy discharge summaries, medication trial documentation, and patient-reported outcome scores strengthen medical necessity arguments

Potentially you may not feel any effect from a B12 injection, but that is usually because of an inability to convert B12 into a usable form

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