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Addisonian anemia Gastrointestinal pathology, dysfunction, or surgery Fish tapeworm infestation Folic acid deficiency Malignancy of pancreas or bowel Vitamin B12 Injection Side Effects There is no reported server side effects of vitamin B12 injections

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Thus, when NSAIDs, and lithium are administered concurrently, subjects should be observed carefully for signs of lithium toxicity

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For confirmed deficiency or pernicious anaemia, NICE Clinical Knowledge Summaries recommend hydroxocobalamin 1mg intramuscularly, with frequency determined by the underlying cause and neurological involvement