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It is therefore possible to be B12 deficient despite having high B12 blood levels for example, if the vitamin cannot correctly bind to transport molecules (6)

That being said, an alternative measure was used by the research team that assessed motor function by grading the toe and heel foot print characteristic on a scale from 0-4, with 0 defined as no print, non functional, and 4 defined as complete print, near normal functioning [2]

Independent replication by research groups without a stake in the outcome is limited