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The 2024 NICE Guideline NG239 from the United Kingdoms National Institute for Health and Care Excellence similarly distinguishes between patients who can be managed with oral therapy and those who require intramuscular treatment

A deficiency can lead to a type of anemia called megaloblastic anemia, causing fatigue and weakness

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B12, or vitamin B12 injections, is a crucial nutrient that plays a key role in various bodily functions, including energy production, metabolism, and the formation of red blood cells

Strict vegans/vegetarians with low intake who prefer a rapid correctionthough high-dose oral B12 is usually effective (AAFP)