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This vitamin is essential for: Synthesis of neurotransmitters like serotonin and dopamine Maintenance of nerve cell integrity Formation of the protective myelin sheath around nerves Reduction of homocysteine (elevated levels are associated with cognitive decline) Studies have linked adequate B12 levels to better cognitive performance, particularly in memory, reasoning, and processing speed

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Anemia can result from various factors, including nutritional deficiencies, chronic diseases, genetic disorders, and medication side effects

Physical therapy discharge summaries, medication trial documentation, and patient-reported outcome scores strengthen medical necessity arguments