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Injections are the right call for severe deficiency, pernicious anemia, neurological symptoms (tingling, numbness, balance issues), patients post-bariatric surgery with poor absorption, and anyone whose lab values havent responded to 8 to 12 weeks of consistent oral liquid use

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Furthermore, our Family Health Care team provides personalized nutritional counseling and vitamin B12 injections for patients who follow strict vegetarian or vegan diets, as these dietary patterns often lack sufficient vitamin B12 naturally present in animal-based products

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A peripheral blood smear would show hypersegmented neutrophils, with a portion of the neutrophils having greater than or equal to five lobes