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If neurological symptoms are present (such as paraesthesia, ataxia, cognitive changes, or visual disturbances), more intensive treatment is required
Some people with pernicious anemia can get enough B 12 into their systems by taking doses of 1 to 2 milligrams in pill form
These supplements are easily available over the counter and can be taken daily
The muscle acts as a reservoir, releasing B12 gradually into the bloodstream over hours to days
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