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There may be itching and pain, along with the discharge of clear fluid from the rash

No plant food is a reliable source of vitamin B12, except for B12-fortified products, such as plant milks, some mock meats, cereals or nutritional yeast but those alone cannot guarantee a sufficient intake (Rizzo et al., 2016)
Folate and vitamin B12 lower homocysteine by converting it to methionine

none of these missed cases underwent MRI as first neuroimaging, whereas 22.2% of the non-missed group did undergo MRI
