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Key Points Vitamin B12 Deficiency and Nerve Damage There are two ways in which B12 deficiency can lead to nerve damage: Myelinopathy : damage to the myelin sheaths (protective layer covering the nerves) Axonal degeneration : destruction and dying off of the nerve fibres and axons The central nerves of the spinal cord can also be affected, as well as the smallest nerve fibres in the peripheral nervous system especially in the hands and feet
This inhibits the growth of bacteria in the water for up to 28 days after first use
Vitamin B12 is not a substitute for folic acid and since it might improve folic acid deficient megaloblastic anemia, indiscriminate use of vitamin B12 could mask the true diagnosis
