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Progressive Symptoms: Anemia, causing shortness of breath, dizziness, and increased heart rate: All of these symptoms may be brought on by a deficit that lowers the synthesis of red blood cells

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[3] Those taking high-dose oral supplements without medical supervision also face increased risk

As for my injection site of choice, I chose the upper buttocks (gluteus medius) mainly because of the size of the muscle and the relative ease I have accessing it

Patients with Normal Intestinal Absorption Where the oral route is not deemed adequate, initial treatment similar to that for patients with pernicious anemia may be indicated depending on the severity of the deficiency