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If this needs to be dealt with, there is an essential requirement of consulting a healthcare professional

For Patients Without a Prior Diagnosis or Prescription: The medicine may be offered if the patient displays signs or symptoms of vitamin B12 deficiency

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Severe cases (e.g., pernicious anemia) may use 5,000 mcg weekly initially, per 2025 JAMA Neurology data (n=800), resolving neuropathy in 60-70% within 6 months