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These may include eating a nutritious diet, getting enough physical activity, and avoiding smoking

10.3390/jcm11061658 76 ParkH.ChoD.HuangE.SeoJ

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However, some clinics or healthcare providers may offer B12 injections on a non-prescription basis

And because they generally dont take medications, their body (Im thinking of their liver enzyme systems) is not used to new medications, even in small doses

Patients commonly report: Persistent fatigue and weakness Breathlessness, particularly on exertion Palpitations Pale or jaundiced skin These symptoms reflect the development of megaloblastic anaemia, where red blood cells become abnormally large and dysfunctional