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[1] Other manifestations of B12 deficiency include glossitis (sore, red tongue), mouth ulcers, visual disturbances, and in severe cases, psychiatric symptoms such as depression, psychosis, or dementia-like presentations

Therefore the baseline pain measurements, unlike the serum measurements, were likely similar at the start of the race to those measured one month prior, and resulted in changes more reflective of previous research

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Howell SJ, Campone M, Corts J, Duhoux FP, Ross S, Morris T, et al