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Description
Case 1 had full symptom resolution with vitamin B12 replacement therapy

Due to decreased caloric intake, as well as decreased stomach acid leading to increased chances of malabsorption

Patient Characteristics Most patients in cohort 1 were female (62.2%), and the mean age was 70.4 years (standard deviation [SD],13.2)

Four reported a sensation of nerve tingling , mild fasciculations, or coming alive of the nerve in the temple area, moving progressively to the buccal musculature, and to the angle of the mandible