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Bologna M, Paparella G, Fabbrini A, Leodori G, Rocchi L, Hallett M, et al

For confirmed deficiency or pernicious anaemia, NICE Clinical Knowledge Summaries recommend hydroxocobalamin 1mg intramuscularly, with frequency determined by the underlying cause and neurological involvement

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These cases often involve an interplay between neuroautoimmunity and immune hypersensitivity, with mast cells amplifying the inflammatory response to microbial triggers

While a balanced diet should ideally provide all the necessary nutrients, sometimes factors like lifestyle, age, and even location can lead to deficiencies What happens if you are low in Vitamin B12