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So far, the product has been effective
However, risk factors include: a family history of pernicious anemia a family history of other autoimmune disorders, such as vitiligo and Addisons disease being female older age Pernicious anemia is a common cause of vitamin B12 deficiency
Management approaches include increasing fiber intake gradually (too much fiber at once worsens bloating), drinking at least 64 ounces of water daily, taking magnesium citrate (400-600mg at bedtime), and increasing physical activity
Vitamin B12 deficiency can occur through insufficient diet (e.g., un-supplemented veganism or absorption issues (e.g., pernicious anaemia) Treatment for B12 deficiency is regular intramuscular injections until symptoms improve
Cohens d was 0.07 for IM vs SL routes, 0.06 for oral vs IM routes, and 0.22 for oral vs SL routes