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Common symptoms include: Hematologic : Macrocytic (megaloblastic) anemia Pallor and shortness of breath on exertion Neurological : Paresthesias (tingling, pins and needles) in hands and feet Gait disturbances and balance problems Cognitive changes: memory lapses, brain fog, mood swings Gastrointestinal : Glossitis (inflamed tongue) Appetite loss and weight changes Nausea or diarrhea Because the nervous system can be permanently damaged if deficiency persists, early detection and correction are paramount

Bill 90471 for the vaccine administration and 96372 for the therapeutic injection

Klapheck et al., 1994)

Review on needle free injection technology

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The volume of the cells was calculated by measuring the radii of the cells under microscopic observation by an IX83 inverted microscope (Olympus Corporation)