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I am very suspicious of pernicious anemia, however his primary will not order antibody testing because his lab numbers are normal

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I also have many of the pernicious anemia symptoms, including the cognitive, balance, and vision issues

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Managing missed doses appropriately is important for maintaining therapeutic benefits while avoiding adverse effects from irregular dosing patterns

[3] [9] Those with neurological symptoms may require more frequent dosing initially (alternate days until improvement) followed by two-monthly maintenance