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To be treated or not be treated that is the question How do you know if you have Pernicious Anemia

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The preservative keeps it safe indefinitely. Benzyl alcohol inhibits bacterial growth

The optimal dosage and route of administration for cobalamin repletion and ongoing supplementation have been somewhat controversial because of inadequate studies establishing an optimal treatment regimen for affected individuals, and particularly for those with neurologic manifestations (198)

Always consult a licensed healthcare provider before starting any treatment.