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It accompanies various disorders

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Fundamentals of anatomy & physiology

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But because your body cant make B12 on its own , you do need to get it from your diet or supplements

Middle-stage dementia symptoms include: Difficulty expressing emotions Sudden change in mood Confusion about place and time Forgetting important personal information Trouble expressing thoughts Needing help with personal care Withdrawn in social settings Wandering or becoming lost Sundowning syndrome or sundowning dementia is a set of symptoms that may appear in middle-stage dementia