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Injections may be selected for severe deficiency, neurologic symptoms, autoimmune gastritis/pernicious anemia, major malabsorption, poor oral response, or adherence concerns
Deficiency may present as fatigue, neuropathy, cognitive changes, or gastrointestinal symptoms related to malabsorption
Both the United States and United Kingdom have seen 6% of individuals under 60 experiencing Vitamin B12 deficiency, however this number goes up to 20% for those over sixty
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