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Failure to do so will result in return of the anemia and in development of incapacitating and irreversible damage to the nerves of the spinal cord

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Almost as an afterthought, he added, Has anyone tested your B-12 levels? I was beyond frustrated, and honestly terrified to leave my house for fear of fainting in public

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It has a high first-pass metabolism by the liver, thus reducing systemic effects

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