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Difficulty Walking and Balance Problems: Impaired coordination and balance issues may arise due to nerve damage

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Treatment is recommended to start with intramuscular injection of 1 ampoule (3 mL) daily until acute symptoms subside

Pernicious anaemia , an autoimmune condition affecting approximately 0.1-0.2% of the UK population (higher in older adults), destroys gastric parietal cells that produce intrinsic factora protein essential for B12 absorption in the terminal ileum

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