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During infancy, signs of a vitamin B12 deficiency include failure to thrive, movement disorders, developmental delays, and megaloblastic anemia

If symptoms return before the next planned injection, seek clinical advice instead of changing the schedule yourself

For those learning the technique, training with a healthcare provider or using reliable equipment with built-in safety measures can reduce errors, prevent contamination, and improve overall confidence in the injection process

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25 Patients diagnosed with vitamin B 12 deficiency whose history and physical examination do not suggest an obvious dietary or malabsorptive etiology should be tested for pernicious anemia with anti-intrinsic factor antibodies (positive predictive value = 95%), particularly if other autoimmune disorders are present

Synthetic cannabimimetics (e.g., Spice, JW) also pose a great risk to users and athletes