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1,2,6 Neurologic manifestations are caused by progressive demyelination and can include peripheral neuropathy, areflexia, and the loss of proprioception and vibratory sense

A general sense of being mentally slower than usual

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Older Adults There is also evidence that the bodys ability to absorb Vitamin B12 decreases with age thus making older adults more vulnerable

Rarely, as observed in this patient, has skin hyperpigmentation been reported as the only symptom of vitamin B12 deficiency [4]