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Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)

[DOI] [PMC free article] [PubMed] [Google Scholar] 90.Smelt H.J.M., Pouwels S., Smulders J.F

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Despite the high prevalence of fibromyalgia, as well as the increasing public awareness and physician acceptance of the syndrome, understanding its pathophysiology and finding effective treatments continues to be a complex endeavor