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In deficiency, the body makes abnormally large, inefficient cells (megaloblastic anemia)

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There is no known way to prevent MS, but some lifestyle factors such as maintaining a healthy diet, getting regular exercise, and managing stress may help reduce the risk of developing MS or lessen the severity of symptoms

128 However, another small uncontrolled trial found that B12 replacement therapy did not improve tinnitus regardless of baseline B12 status