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Focused history confirms classic symptoms without fever or back pain

A vegan diet is generally healthy, low in cholesterol and protective of heart disease, but its followers must take vitamin B12 supplements or risk a condition that causes permanent numbness in their hands and feet, experts say

Deficiencies in vitamin B12 can lead to neurological complications, including peripheral neuropathy, cognitive decline, and psychiatric diseases such as depression and psychosis ( 8 Conclusion Deficiencies in complex B vitamins, particularly vitamins B9 (folate) and B12 (cobalamin), have significant neuropsychiatric manifestations that can profoundly impact mental and neurological health

Inositol supports insulin signaling and lipid transport, and has been studied for its role in mood regulation and metabolic health