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however, cases of hypercobalaminemia in leukemia, autoimmune diseases, and pulmonary and renal dysfunction have also been observed (Andrs et al., 2013

In pernicious anaemia, the immune system mistakenly attacks the gastric parietal cells that produce intrinsic factor, leading to B12 deficiency over time

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Early detection and intervention are essential to prevent complications associated with prolonged deficiency

Side effects are uncommon and typically very mild, like a little soreness or redness at the injection site