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Description
Deficiency can lead to macrocytic anaemia, neurological symptoms including peripheral neuropathy, cognitive changes, and fatigue

Acute ischaemic stroke mixed, leaning cautious The 2023 Cochrane review found no clear clinical benefit and a moderate-certainty signal of more non-fatal serious adverse events

10.1002/cbf.3263 90 LiY.LiR.-H.RanM.-X.ZhangY.LiangK.RenY.-N.et al (2018)

Intraventricular hemorrhage involving the third and lateral ventricles was also seen (Figure 7)
