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Autoimmune conditions such as pernicious anaemia
This method is often used at the start of treatment or for severe symptoms
vegans require supplementation or fortified foods NHS treatment for confirmed deficiency with neurological involvement involves hydroxocobalamin injections on alternate days until improvement, then every 2 months lifelong Risk groups include vegans, older adults, those with pernicious anaemia or gastrointestinal disorders, and long-term users of PPIs or metformin Table of Contents What Does Vitamin B12 Do for the Body
Please note that all the risks mentioned are only associated with extremely high doses of vitamin B12
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