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NICE CG189 advises that patients should be counselled about the lifelong need for vitamin and mineral supplementation before surgery takes place, ensuring informed consent includes an understanding of nutritional responsibilities

The exact cause is unclear, but according to the National Eye Institute, the eyelid muscles and an area of the brain called the basal ganglia are involved

If not treated, the deficiency can progress to more serious symptoms such as blindness, deafness, and dementia

"Low plasma vitamin B12 in pregnancy is associated with gestational 'diabesity' and later diabetes"

Cyano-[(1R,2S,3S,4Z,7S,8S,9Z,13S,14Z,17R,18R,19R)-2,7,18-tris(2-amino-2-oxo-ethyl)-3,8,13-tris(3-amino-3-oxo-propyl)-17-[3-[[(2R)-2-[[(2R,3S,4R,5S)-5-(5,6-dimethylbenzimidazol-1-yl)-4-hydroxy-2-(hydroxymethyl)tetrahydrofuran-3-yl]oxy-oxido-phosphoryl]oxypropyl]amino]-3-oxo-propyl]-1,2,5,7,12,12,15,17-octamethyl-8,13,18,19-tetrahydro-3H-corrin-21-yl]cobalt(1+) The IUPAC name for vitamin B 12