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For a regular patient with vitamin B12 deficiency, the doctors usually start with a high dosage

All these outcomes of mitochondrial dysfunction may disrupt the neurodevelopmental processes, and it is not surprising that mitochondrial impairments are implicated in neurodevelopmental disorders, such as ASD [34]

This inhibition leads to critical ATP depletion, which accelerates neuronal death (65, 66)

That means treating a deficiency as soon as possible is crucial. If you are experiencing any symptoms that may lead you to think you are deficient in vitamin B12 talk to your primary care physician and ask them to take a blood test, says Gans