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Summary: A clinical trial of the effect of vitamin B12 therapy was conducted in 39 elderly subjects who had been found, in a community screening survey, to have low levels of serum B12 without a macrocytic anaemia or neuropathy. The study produced no evidence which suggests that in such subjects B12 is superior to placebo in effecting an improvement in psychiatric state or general well-being. There was a clear tendency for all the subjects to show an improvement during the trial, but this probably represents the therapeutic effect of involvement in a research exercise of this kind.

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