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If the treatment is inadequate due to poor understanding of B12 metabolism, and symptoms return as a result, that's due to poor research/lack of adequate knowledge on how to treat B12 deficiency properly in PA

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Avis NE, Crawford SL, Green R

A recent extended follow-up of two vitamin B intervention trials from Norway noted that additional treatment with folic acid (and not just B 12 ) was associated with increased cancer incidence, cancer mortality and all-cause mortality

Patients wake unrefreshed regardless of hours spent in bed

Read the instructions that come with the medication you're using to determine what type of injection to give