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Patients with pernicious anemia generally require lifelong monthly injections

Vitamin B12 is Reducing the chances of developing vitamin B12 deficiency, and complications that may occur in the future as a result of vitamin B12 deficiency, such as: heart disease, nervous system diseases, vision loss, and problems in the nervous system of fetuses born to mothers with vitamin B12 deficiency

That's the manufacturer's guideline and the standard the research community follows

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