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Compounded versions are prepared by licensed pharmacies under physician supervision, using bulk pharmaceutical-grade active pharmaceutical ingredients

Until yesterday, the FDA, and many others, adamantly said they were

10.3233/JAD-2012-120268 199

Differentiating from Other Conditions Neurological signs and symptoms can be vitamin B12 deficiency associated or due to other causes such as: Pernicious anemia Syphilis Neurosyphilis Human immunodeficiency virus (HIV)-associated vacuolar myelopathy Toxic neuropathies Tropical myeloneuropathy Your healthcare provider can make a proper diagnosis based on your symptoms, medical history, physical exam, and laboratory test findings