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doi: 10.3390/pathogens12060817 33 FerreroEFainiACMalavasiF

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This schedule maintains adequate B12 levels and prevents relapse of deficiency symptoms

However, someone with decreased intrinsic factor may have symptoms of milder B12 deficiency long before pernicious anemia.[ref] The time to act is long before your body develops full-blown anemia

Risk Factors: Limited sun exposure, dark skin, obesity, older age, certain medical conditions (e.g., Crohn's disease, celiac disease), or taking certain medications

A 4mg dose means something completely different depending on whether your vial contains 5,000 mcg/mL or 10,000 mcg/mL