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Try asking the pediatric neurologist, How long will we have to give Ritalin? Although some children continue this treatment for years, it usually requires much less time

Laboratory findings support the response to therapy, with the patients vitamin B12 level increasing to 587 pg/mL and hemoglobin improving to 11.1 g/dL

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People with low B12 levels often report: Excessive daytime sleepiness Fatigue despite adequate sleep duration Various neurological symptoms that may indirectly affect sleep quality Correcting B12 deficiency typically improves these symptoms over several weeks to months, as the body's stores are replenished and metabolic function normalises