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Keep bottles away from heat: Never leave them in a hot car or under direct sunlight

Common neurological manifestations include: Paraesthesia (pins and needles) in the hands and feet Numbness and altered sensation Difficulty with balance and coordination (ataxia) Memory problems and cognitive impairment Mood changes, including depression and irritability In severe cases, visual disturbances and confusion These neurological features arise from demyelination of peripheral nerves and the spinal cord, a condition known as subacute combined degeneration when it affects the posterior and lateral columns of the spinal cord

Treatment for complex V deficiency is largely symptomatic, focusing on the use of coenzyme Q10, vitamin B1, and vitamin C

Eur J Pharmacol 570(13):212221 Whang R, Papper S, Llach F (1988) Arginine-induced hypermagnesemia and hyperkalemia in nephrectomized rats

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