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It was so sudden, so quick, she said

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Biotin can be taken in tablet form or given intramuscularly as an injection

Inadequate use of vitamin B 12 , which may occur if antimetabolites for the vitamin are employed in the treatment of neoplasia Pernicious anemia is the most common cause of vitamin B 12 deficiency

He added that B12 deficiency "can be undiagnosed or underdiagnosed since symptoms can be nonspecific," like cognitive slowing, fatigue, tongue swelling, arm or leg tingling, and difficulty walking