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[DOI] [PMC free article] [PubMed] [Google Scholar] 5.van Mil NH, Oosterbaan AM, Steegers-Theunissen RPM

38 Base the injection frequency on symptoms, and not on biomarker assessment

Vitamin B-12 deficiency causes tiredness, weakness, constipation, loss of appetite, and weight loss

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Then theres other evidence such as where tablets have been introduced to treat patients with Pernicious Anaemia doctors still keep on prescribing the injections and anyway, patients are easily able to purchase injectable B12 from other sources and treat themselves

So before you try a vegan or vegetarian diet, make sure that you consult with a doctor first before proceeding