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increase by ~50 mcg every 12 weeks as tolerated
this local reaction typically resolves on its own within a day or two
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For severe cases, a bigger dose might be given first, followed by smaller doses later
According to the National Institutes of Health (NIH), vitamin B12 deficiency can cause numerous symptoms like fatigue, neurological changes, megaloblastic anemia, palpitations, and low white and red blood cell counts
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