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doi: 10.1016/j.immuni.2019.12.004 152 LiddelowSAGuttenplanKAClarkeLEBennettFCBohlenCJSchirmerLet al
Pernicious anemia typically requires lifelong B12 injection therapy
It can become hard to get enough protein, fiber, fluid, vitamins, minerals, and steady energy in such a small amount of food
The American Academy of Family Physicians and NIH identify the following clinical manifestations: Fatigue and generalized weakness Megaloblastic anemia (abnormally large, immature red blood cells) Tingling or numbness in the hands and feet (peripheral neuropathy) Difficulty walking and balance problems Cognitive disturbances including memory difficulty and confusion Mood changes, including depression and irritability Glossitis (swollen, inflamed tongue) Early symptoms such as fatigue and mild tingling are often attributed to stress, aging, or other conditions
Once delivered, simply place your unopened vial in the main refrigerator compartmentnot the freezerto maintain stability
