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[13] In a newly diagnosed vitamin B 12 -deficient patient, normally defined as when serum levels are less than 200 pg/ml, daily IM injections of hydroxocobalamin up to 1,000 g (1 mg) per day are given to replenish the body's depleted cobalamin stores

Symptoms and signs of vitamin B 12 deficiency These include: fatigue depression lack of appetite problems with concentration changes in bowel habits (including constipation or diarrhea) CHECK shortness of breath or an inability to exercise pallor (pale skin) tingling or numbness in the hands and feet poor balance confusion or dementia

B12 is a water soluble vitamin, meaning your body simply excretes what it doesnt need

Typically, after starting treatment for pernicious anemia, the body starts to produce new young red blood cells in about 5 days