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treat per standard of care and monitor until symptoms and signs resolve [see ADVERSE REACTIONS ]

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Symptoms of severe vitamin B12 deficiency can include visual disturbances, severe joint pain, paresthesia (tingling in the hands and feet), memory problems, depression, anxiety, poor muscle function, ataxia (impaired balance and coordination), changes in reflexes and even infertility

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[DOI] [PMC free article] [PubMed] [Google Scholar] [42].Amarilyo G, Hahn B, La Cava A

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