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immediate medical help should be sought if symptoms like difficulty breathing arise

Appropriate trained and qualified staff may need to be deployed to these locations when time permits, and the capacity of general healthcare staff capacity to provide mental health and psychosocial support should be increased (see the mhGAP Humanitarian Intervention Guide)

Low energy Weakness/Fatigue Insomnia Mood Changes Forgetfulness Pale/Jaundice skin Frequent headaches Problems maintaining balance Depression Mouth inflammation/ulcers Blurry Vision Anemia Vegan Diet Slow metabolism Are Vitamin B12 Injections the best option

A complete blood count (CBC) helps identify anemia and unusually large red blood cells

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Typical doses used in practice are in the region of 1,000 micrograms daily of cyanocobalamin, which is the standard licensed oral form in the UK