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You can have this disease for many years before you notice changes in your body that happen because youre not getting enough vitamin B12

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If there is a lack of cobalamin in the body, methylmalonyl CoA accumulates, which presumably leads to the neurological manifestations of B12 deficiency.[4][7][9][12] The replenishment with parenteral cyanocobalamin causes a rapid and complete improvement of megaloblastic anemia and gastrointestinal symptoms caused by vitamin B12 deficiency

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These injections are typically administered intramuscularly , although some protocols allow for MIC B12 injections to be administered subcutaneously or intramuscularly , depending on clinical preference

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