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Because of the specifics of the pathogenesis of IGS, lifelong monthly treatment with intramuscular injection vitamin B12 is required to achieve complete recovery and restoration of hematological parameters to normal ( Our patient presented with macrocytic anemia from early childhood

If you don't treat your B12 deficiency, it can lead to more severe neurological problems, including: Problems walking or speaking Vision loss Numbness or tingling Muscle weakness Difficulty remembering things Depression or mood swings Treating vitamin B12 deficiency Treatment depends on the reason for your low levels of B12

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