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While many people see improvement once treatment begins, some nerve damage from prolonged, severe deficiency can be slower to resolve or, in rare cases, only partially reversible, which underlines why B12 deficiency should never be left untreated once identified, even if symptoms feel manageable at first
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Due to the increased rise in cardiovascular mortality, those with chronic kidney disease (CKD) or end-stage renal disease (ESRD) have a significantly shorter life expectancy than people with adequate renal function [7]
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