“…Relatively little research has addressed the potential reversibility of cognitive deficits associated with vitamin deficiency, and some of it suffers from methodological problems (e.g., a lack of adequate control groups and a focus on case studies with limited genera- lizability). With these caveats in mind, there is partial evidence that replacement therapy with vitamin B 12 (Meadows, Kaplan, & Bromfield, 1994; Shulman, 1967) as well as folic acid (Botez et al, 1984; Rapin et al, 1988) may result in cognitive improvement (but see Joyal, Lalonde, Vikis-Freibergs, & Botez, 1993; Kral et al, 1970). Conceivably, the duration of vitamin deficiency may be an important factor determining the likelihood of successful replacement therapy: The probability of obtaining positive effects may decrease with increasing time of deficiency.…”