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NICE guidance emphasises investigating the underlying cause of B12 deficiency rather than simply treating with supplements

Chloramphenicol should be discontinued if anemia attributable to chloramphenicol is noted during periodic blood studies, which should be done approximately every 2 days during chloramphenicol receipt

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Common Symptoms of Vitamin B12 Deficiency Many people search for vitamin B12 injections after experiencing symptoms such as: Persistent tiredness or weakness Brain fog or difficulty concentrating Dizziness or headaches Tingling or numbness in hands and feet Low mood or irritability These symptoms often develop gradually, making them easy to overlook until they begin to affect daily life

Its use is off-label and based on clinical judgment in individualized cases
