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Pernicious Anemia: Lifelong Replacement Strategies Pernicious anemia makes it hard to absorb vitamin B12
If blood tests show clearly low levels (thresholds vary by lab, but often below roughly 200 pg/mL) or there are signs of anemia, a provider may recommend weekly injections for the first several weeks as a correction or "rescue" phase
Warnings: Allergic Reactions: Though rare, some individuals may experience hypersensitivity reactions
Some people only need an injection every few months
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