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Alzheimers often is accompanied by seizures because the characteristic buildup of the proteins amyloid and tau in the brain disrupts communication between neurons, creates increased oxidative stress and resulting inflammation, and in response to the altered dynamic, neurons can become hyperexcited, she says

We need better testingnot just serum B12, but also methylmalonic acid (MMA), homocysteine, and holotranscobalamin levels, which offer a more complete picture of B12 function

Older adults and cardiac patients start low and titrate slowly