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Later, signs and symptoms of a myelopathy involving the dorsal and lateral columns combined with a peripheral neuropathy may develop, but overt spasticity is uncommon (96)

General Safety: Vitamin B12 is known for its safety and is essential for various bodily functions, including red blood cell formation and nerve function

They can be a good option if you prefer not to inject, or if youre looking for a more familiar treatment format alongside diet and lifestyle changes

You can get vitamin B12 from many dietary sources and animal products, such as: Meat Fish Eggs Dairy products Nutritional yeast Fortified foods Many People Are Deficient According to the National Institutes of Health (NIH), about 12.5% of adults in the U.S

In addition, MS patients are known to have an increased risk for the development of megaloblastic anemia a condition in which the bone marrow produces unusually large, immature red blood cells referred to as megaloblasts

The recommended vitamin B12 intake (in micrograms, or mcg) is as follows: *Adequate Intake S ource: National Institutes of Health Office of Dietary Supplements Unless you have a B12 deficiency or have identified a risk factor for deficiency (like following a vegan diet or having a malabsorption issue), theres no need to take a vitamin B12 supplement