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Muscle weakness, steroid myopathy, reduction of muscle mass, osteoporosis, vertebral compression fractures, fractures of the femoral or humeral head, pathological fractures of long bones

Cyanocobalamin injections of 1000 micrograms weekly for 8 weeks provide the fastest relief, followed by monthly maintenance doses

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The deficiency occurs worldwide across all age groups in both males and females and stems mainly from poor diet of animal foods and also from intrinsic factors such as malabsorption [4]

Female patients account for 62% of annual test volumes while males account for 38%