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In this same survey, 44% of patients that perceived their treatment to be inadequate purchased their own additional supplementation, which in some cases included purchasing injections online from other countries, such as Germany, where hydroxocobalamin it is available over the counter and self-administered

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Increase your intake of whole, unprocessed foods and prepare meals at home

As a result this may cause macrocytic anemia as tested in my regular lab works (a MCV larger than 100) and a low RBC count

Some people get mild itching or a small bruise