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If your condition is treatable but irreversible (like pernicious anemia), says Green, youll probably need to receive B12 shots or a large oral dose indefinitely

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These symptoms are more concerning when they are severe, persistent, or paired with dizziness, dark urine, confusion, fainting, or inability to keep fluids down

Dosage and Administration: Inject subcutaneously or intramuscularly

Some patients may experience localized itching or formation of small, hard nodules [8]