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Supplementation strategies vary depending on the underlying cause of deficiency or risk factors: Oral supplements (typically 25-2000 micrograms daily) are suitable for individuals with adequate intrinsic factor production but insufficient dietary intake Sublingual or buccal preparations have no proven superiority over standard oral tablets at equivalent doses Intramuscular injections (usually 1000 micrograms of hydroxocobalamin) are the preferred treatment for pernicious anaemia and severe malabsorption

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Early pernicious anemia symptoms are mild so mild that some people simply learn to live with feeling tired, lightheaded or breathless

It is intended for use in conditions requiring vitamin B complex supplementation, particularly where oral intake is insufficient or absorption is compromised

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Once diagnosed by a blood test, folate and vitamin B12 deficiencies may be treated with over-the-counter supplements