Anyone with
- Mental status changes
- Neurologic or motor symptoms
- Gastrointestinal surgery
- Anemia or elevated MCV
- Age 60 or over annually (or age 50 test every 5 years until age 65 annual testing
4A)
- Under age 60 with unexplained neurologic symptoms
- Strict vegetarian diet after one years on diet-- See discussion Preventable
- Epidemic
- Taking folate supplements
- Exclusively breast fed infant of vegan mother or mother with pernicious anemia
- (infant symptoms may include: irritability, anorexia, failure to thrive, lethargy,
comatose, apathetic, anemia, hypotonia, developmental delay, hyperreflexia)
- symptoms suggesting multiple sclerosis (MS)4A -- See case histories and testimonials.
- Autoimmune disease
- Chronic pancreatitis
- Crohn's disease
- Malabsorption syndromes
- Use of histamine2 receptor antagonists or proton pump inhibitors
- Thyroid disease
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Neurologic Symptoms:
- Paresthesia
- Weakness or fatigue
- Muscle aches
- Impaired vibration or position sense
- Impaired pain or touch perception
- Ataxia
- Abnormal gait
- Decreased reflexes
- Unexplained vision or taste impairment
- Impotence
- Urinary or fecal incontinence
- Lhermitte's sign (sudden electric-like shocks down the spine on flexing head)
- Positive Romberg's sign (increased unsteadiness on feet when eyes are closed)
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Psychological Symptoms:
- Memory loss
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Disorientation
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Apathy
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Irritability
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Paranoia
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Depression
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Hallucinations
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Violent behavior
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Psychosis
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Personality changes
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Dementia
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