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This can cause memory loss, irreversible vision problems and damage to the nervous system

Older adults are also more likely to have underlying health conditions that can contribute to cramping

For pre-filled pens or auto-injectors, follow the manufacturer's instructions to prepare the device for injection

The body must convert it to bioactive methylcobalamin and adenosylcobalamin before cells can use it

Laboratory Tests Patients with pernicious anemia have about three times the incidence of carcinoma of the stomach as the general population, so appropriate tests for this condition should be carried out when indicated