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This can cause increased anxiety and restlessness

Pernicious anaemia , the autoimmune condition causing B12 malabsorption, may coexist with other autoimmune disorders, including autoimmune thyroid disease and, less commonly, rheumatoid arthritis

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A: You may feel mild pain, redness, or swelling at the injection site

The choice of treatment should be individualised, considering the underlying cause, symptom severity, patient preference, and practical factors such as access to healthcare facilities for regular injections