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It may also cause weight gain in some people

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Note: For complete details, please review product monographs at and regularly review current Health Canada advisories, warnings and recalls at: for the most up to date information.) Table 4: Treatment of B 12 deficiency (adapted from Means 2021) 27 Note: Intranasal administration is generally not used

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If more than five days have passed, the missed dose should be skipped, and the next dose should be administered on the regularly scheduled day

With proper diagnosis, personalized treatment, and consistent support, pernicious anemia is manageable, and women can feel steady and well again