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[9] Cognition can also be affected in Wilson's disease, in two non-mutually exclusive categories: frontal lobe disorder (may present as impulsivity, impaired judgement, promiscuity, apathy, and executive dysfunction with poor planning and decision-making) and subcortical dementia (may present as slow thinking, memory loss, and executive dysfunction, without signs of aphasia, apraxia, or agnosia)

However, certain individuals struggle to absorb B12 from food or oral supplements due to digestive conditions or poor stomach acid production

Change in fatigue in patients with ulcerative colitis or Crohns disease initiating biologic therapy