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Third, relevant lab values including hemoglobin, ferritin, MCV, and transferrin saturation referenced in the note, not just ordered

Neurological symptoms may start improving within 12 weeks, but longstanding complications can require 36 months of treatment, with some damage potentially irreversible

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It doesn't happen instantaneously at a specific date it's a gradual degradation that accumulates over time with exposure to heat, moisture, light, and freeze-thaw cycles