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Conversely, if a patient presents with pernicious anemia or severe neurological signssuch as intense tingling in the hands, memory loss, or muscle weaknessthe dosage remains the same (usually 1,000 mcg), but the frequency increases significantly

Side Effects & Safety Limited human data available

Mock DM, Stadler DD

Patients with certain health issues might need their doses adjusted to avoid problems

Sorry if this ends up in really simple terms but I'm feeling too rough this morning due to antibiotics for a jaw ulcer to get complicated - please don't think I'm suggesting you can't grasp something more challenging