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Vitamin B 12 deficiency can express itself in the following clinical pictures: Hyperchrom macocytic megaloblast anemia (Perniciosa, Biermer-Anemia, Addison-Anemia

Avoid repeated freezethaw cycles to maintain structural integrity

As ever, the process begins with accurate diagnosis

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However, B12 shots are less likely to increase energy or performance when B12 levels are already normal

This can deter patients from sticking with the B12 treatment plan, but it is important to stay consistent