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When you notice persistent health issues like these, you may want to consider a quality B12 supplement

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Treatment considerations include: Concurrent folate supplementation if deficient (never give folate alone, as it may precipitate neurological deterioration) Potassium monitoring during initial treatment in severe anaemia or at-risk patients (e.g., those with heart failure) Response assessment: reticulocyte count peaks at 57 days, haemoglobin normalises within 68 weeks Neurological symptoms may take 612 months to improve and may not fully resolve Patients should be advised that treatment for pernicious anaemia or post-surgical deficiency is lifelong

Jan 28 2020;9(2)doi:10.3390/antiox9020116 Guo J, Hao X, Wang R, et al

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It also helps to prevent migraines, future heart attacks, and stroke