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Patients with pernicious anemia have a higher incidence of stomach carcinoma, so appropriate tests should be performed when indicated

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Treating B12 Deficiency If you have diabetes, use metformin, and have vitamin B12 deficiency, your doctor has two major options to help get your levels back into a safe range, according to research in the World Journal of Diabetes : Intramuscular Injections You might need injections every one to two days at first, gradually tapering off to injections every three to four weeks

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