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Reports of LD in Canada quadrupled between 2009 and 2013, likely due to the spread of ticks in eastern Canada as a result of climate change

However, for the last several years, B12 injections have been given to people without clinical deficiencies

Some distributors says they can no longer get their products into Canada

Despite the absence of upper motor neuron signs, pathological reflexes, or typical spinal MRI findings, she was clinically diagnosed with SCD and treated promptly