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Anemia can be more than just an annoyance: many people find that it causes them to feel exhausted all of the time and have trouble breathing

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For patients who experience a paradoxical decrease in energy levels, it doesnt mean you should stop taking the B12 but instead decrease your dose by half (so take 2,500mcg every 7 days) or simply take 5,000mcg every 14 days instead

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The study was a randomized, double-blind, placebo-controlled trial carried out at 51 sites in Japan