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The AAFP recommends injectable therapy when rapid improvement is needed for severe deficiency or serious neurologic involvement

Patients should seek urgent medical review if neurological symptoms worsen or fail to improve after 46 weeks of appropriate treatment

The whispers of pernicious anaemia come in the form of symptoms such as weakness, headaches, chest pain, and weight loss

3.4 Changes in serum homocysteine by supplementation route and dosage Analysis of 10 comparisons showed that vitamin B12 supplementation was associated with a mean reduction of 35.8% in serum homocysteine concentrations (Supplementary Table S5)

Storage is where careful reconstitution either pays off or gets wasted