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Still, there will be some cases that require a biopsy or additional imaging

A French study showed that among 172 elderly patients with vitamin B 12 deficiency, only 2% accounted for inadequate intake,26 while in a hospital-based Chinese study on 52 patients, only 3.8% (median age, 73.5 years) with megaloblastic anaemia (98% had vitamin B 12 deficiency) had inadequate dietary intake.27 However, this can be a problem in strict vegans because animal products are the only dietary source of vitamin B 12

Needle: The needle attaches to the syringe and is used to inject the B12 solution into the muscle tissue

References 1 AlbanisE.FriedmanS

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