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This case shows that vitamin B 12 deficiency can induce orthostatic hypotension and syncope that are correctable by vitamin B 12 replacement

Administration Precautions: Before each administration, the vial should be inspected visually for any particulate matter or discoloration

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After the initial intensive phase, patients can either continue with intramuscular injections or switch to high-dose oral B12 supplements for long-term maintenance

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A 52-year-old marathon runner once brought me B12 of 1280 pg/mL and AST 89 IU/L