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According to the Cleveland Clinic, it is usually seen in people who do not get enough vitamin B12 from their diet or when their digestive tract does not absorb enough

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If so, these may be signs of a vitamin B12 deficiency

Dosage Adjustments Based on Clinical Response Adjusting the dosage is a big part of treating vitamin B12 deficiency

Do I really need a Vitamin B12 injection, or will tablets work