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Subcutaneous injection into the abdomen, thigh, or upper arm is standard, with site rotation recommended to prevent localized irritation
[2] It is the main and most common cause of vitamin B 12 deficiency anemia in developed countries, [3] and is characterized by a triad of symptoms: [2] Anemia with bone marrow promegaloblastosis (megaloblastic anemia)
Some researchers adjust timing or escalation speed based on body weight
Fatigue can come from sleep, thyroid status, anemia, mood, medications, nutrition, or chronic disease
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