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These symptoms require urgent medical attention and immediate initiation of B12 injections to prevent potentially irreversible nerve damage
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Hydroxocobalamin may also be given intravenously in certain scenarios (for example, 5 g IV for acute cyanide poisoning antidote therapy), but such high-dose use is in emergency settings and distinct from routine deficiency treatment
you pee out any excess
(8) Long-term vitamin B12 deficiency can cause permanent nerve damage and neurological symptoms
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