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If oral supplements have not improved your symptoms, injection is almost certainly more appropriate for you
If you dont get enough B12 in your diet or through supplementation, you may develop one or more of the following symptoms [4]: - Mild fatigue during exercise or daily activities - Heart palpitations - Skin paleness or hyperpigmentation - Glossitis (tongue inflammation) - Neurological symptoms such as loss of reflexes, loss of proprioception (knowing where your limbs are without looking at them), forgetfulness Signs that healthcare providers use to detect a B12 deficiency include [4]: - Megaloblastic anemia (abnormally large and nucleated red blood cells) - Abnormal blood work, including decreased levels of haptoglobin
Only studies evaluating the effectiveness of oral vitamin B12 replacement on pernicious anemia patients in entirety or as a subset were included for review
Its the simplest, most accessible thing we do and for the right patient, its also one of the most genuinely felt
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