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In the UK, pernicious anaemia is typically treated with intramuscular hydroxocobalamin injections, though high-dose oral supplements may be considered in some cases under clinical supervision

These can be signs of an early B12 deficiency or other nutritional deficiencies like folate, vitamin B2 (riboflavin), and vitamin B3 (niacin) deficiency

doi: 10.2174/1381612824666180712110447

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Red flag #5: The everything-bagel upsell A good injector solves one concern at a time, validates the result at follow-up, and only then discusses adjuncts