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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Green et al., 2017)

There is no evidence from long-term use in patients with pernicious anemia that cyanocobalamin is carcinogenic

The important thing to do is seek medical advice from your primary healthcare provider, who will offer guidance on how you are supposed to administer these shots

The purchaser is responsible for ensuring compliant handling, storage, and use in accordance with applicable laws and regulations