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Description
Oral supplementation may not always be the most effective delivery method
Vitamin B12deficiency can manifest itself in the following clinical pictures: Hyperchromic macrocytic megaloblastic anemia (pernicious anemia, Biermer's anemia, Addison's anemia these are red blood cell maturation disorders) Funicular spinal disease [spinal cord damage] A vitamin B12deficiency confirmed by laboratory diagnostics can occur with: Years of malnutrition and malnutrition (e.g strictly vegetarian diet)
It is also important to know that normal lab results do not always mean everything is fine
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