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In cases of severe deficiency or pernicious anemia, injections may be given daily or weekly initially, followed by maintenance doses every month

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Call your health care provider immediately if you are experiencing any signs of an allergic reaction: skin rash, itching or hives, swelling of the face, lips, or tongue, blue tint to skin, chest tightness, pain, difficulty breathing, wheezing, dizziness, red, swollen painful area on the leg