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Adams JB, Audhya T, McDonough-Means S, Rubin RA, Quig D, Geis E, Gehn E, Loresto M, Mitchell J, Atwood S, Barnhouse S, Lee W

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The patients sensations, exacerbated by neck flexion, required a broad differential diagnosis, including multiple sclerosis (MS), subacute combined degeneration (SCD) of the spinal cord, cervical disc disease, radiation myelitis, neck trauma, antidepressant discontinuation (brain zaps), trigeminal neuralgia, and somatosensory hallucinations [20, 32,33,34]

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Clinical levels are measured off of a plasma level of B12