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Treatment of pernicious anemia when parenteral administration is not possible or not advised, and for patients who prefer not to swallow tablets, or patients who are unable to do so

If you let it go for too long, it can cause problems in your nervous system such as: Vision problems Memory loss A pricking or numbing sensation Difficulty speaking or walking due to ataxia (loss of physical coordination) Damage to your extremities (hands, feet, arms, etc.), particularly your legs Other problems could include Infertility (this should go away with B12 treatment) Stomach cancer Bleeding and infections Damage your heart, brain, bones, and other organs in your body If you're pregnant and don't get enough vitamin B12, your baby is at risk of a serious birth defect called a neural tube defect

Most patients notice initial improvements in 2-4 weeks, meaningful firmness and fine line changes at 4-8 weeks, and peak early results at 8-12 weeks

doi: 31

Gonz et al., 1995