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These effects are temporary and can sometimes be mitigated by staying hydrated and ensuring adequate nutrition

doi:10.1007/978-94-010-0688-0_7 Billington RA, Travelli C, Ercolano E, et al

or blood loss

Many patients have successfully learnt to self-administer B 12 by intramuscular injection, which reduces both healthcare costs and burden on GP practices, and allows people who are B 12 deficient to optimise their treatment regimen.6566 Case example A man in his 70s presents with a nine month history of difficulty walking and climbing stairs, numbness and pain in his lower limbs, and paraesthesia in his hands

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In addition to vitamin B12, several other vitamins are often recommended to help manage depression and anxiety