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This overlap occurs because when patients have suffered a B12 deficiency through a disease like pernicious anemia, doctors often only diagnose the disease and start giving B12 shots at its end stage

Storing in the refrigerator door The door shelf experiences the most dramatic temperature swings, cycling between cold and ambient temperatures every time you open the refrigerator

J Transl Med 14:3

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This is caused by the changes these injections make to your digestive system