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Doctors might change the dose or how often you get shots based on what they see and lab tests

20 Systematic reviews: Oral vitamin B 12 replacement for the treatment of pernicious anemia 21 Relevant articles were identified by PubMed search from January 1, 1980 to March 31, 2016, focusing on patients with pernicious anemia

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It's very common to get nutritional deficiencies in the perimenopause and menopause