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And because they generally dont take medications, their body (Im thinking of their liver enzyme systems) is not used to new medications, even in small doses

However, some clinics or healthcare providers may offer B12 injections on a non-prescription basis

Patients commonly report: Persistent fatigue and weakness Breathlessness, particularly on exertion Palpitations Pale or jaundiced skin These symptoms reflect the development of megaloblastic anaemia, where red blood cells become abnormally large and dysfunctional