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Even simple anaemia affects many organ systems: fatigue, pallor, abdominal complaints, high heart rate, shortness of breath when climbing stairs, and dizziness

Along with high blood sugar levels causing damage to nerves, the medicines prescribed to maintain blood sugar levels can also contribute to B-12 deficiencies

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Documenting progress Taking standardized photographs monthly helps track changes that occur gradually

Neurological deterioration requires investigation

Alternatively, add 1mL for 20mg/mL, making a 4mg dose just 20 units and a 12mg dose 60 units, though the small volumes for lower doses become harder to measure precisely