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Vitamins can help fill that gap

Symptoms of a vitamin B12 deficiency include fatigue, weakness, numbness or tingling in the hands and feet, and difficulty concentrating

doi:10.5603/FHC.a2019.0002

Individual response can vary, and many practitioners recommend starting conservatively and adjusting based on observed results

Kane, MD Consultant, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota

The pharmacist should assemble the Nascobal Nasal Spray unit prior to dispensing to the patient, according to the following instructions: Patients with pernicious anemia should be instructed that they will require weekly intranasal administration of Nascobal Nasal Spray for the remainder of their lives