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Criteria for treatment and management Optimum maintenance dose is 1000 g at intervals of 12 weeks Follow-up annual blood count is required to avoid relapse You see the obsession with blood values and yet no instruction to listen to patients, some of whom relapse only a matter of days post injection

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however, cases of hypercobalaminemia in leukemia, autoimmune diseases, and pulmonary and renal dysfunction have also been observed (Andrs et al., 2013

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