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Haematological response typically occurs within one week, whilst neurological symptoms may take several months to improve and recovery may be incomplete if treatment was delayed

ADVANCED DIAGNOSTICS: For high clinical suspicion with low-normal B12 levels, measure Methylmalonic Acid (MMA) and Homocysteine for early, accurate detection

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TRIUMPH-4: Osteoarthritis pain signal Because TRIUMPH-4 specifically enrolled participants with symptomatic knee osteoarthritis, it also collected WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) pain data