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Pernicious anemia is a serious condition where your red blood cell count becomes dangerously low

Medication interactions Specific drug-interaction studies with AOD-9604 have not been published

However, if youre highly deficient, you may feel tired for a short period as your body adjusts

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Some of the signs of lower B12 levels in your body include: Pale or yellow-tinged skin Weakness and fatigue Balance and coordination are affected A sensation of pins and needles Mouth ulcers Blurred or disturbed vision On rare occasions, high temperature Mood changes Rani MD Treatment of vitamin B12 deficiency often includes dietary changes, B12 shots, or supplements