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The symptoms of pernicious anemia can take years to surface, and early on, mild symptoms can be easily confused with the symptoms of Hashimotos thyroiditis or hypothyroidism

Experimental Biology and Medicine

Urgent red-flag symptoms seek immediate medical attention: Persistent or severe vomiting after surgery, sudden confusion, problems with balance or coordination, visual disturbances, or rapidly worsening weakness or numbness may indicate acute thiamine (vitamin B1) deficiency, which can cause a serious neurological condition called Wernicke's encephalopathy

Vitamin B12 is essential to keeping nerve and blood cells healthy and maintaining many critical body processes like normal brain function

doi:10.1155/2021/6699821 Tsantarliotou MP, Poutahidis T, Markala D, et al

Your doctor will determine the frequency of injections based on your general health and condition