People with pernicious anaemia need large doses of vitamin B12 given at regular intervals, usually as an intramuscular injection (Obeid et al., 2015
Watch the medication fill the syringe barrel
Patients experiencing significant cold intolerance should undergo thyroid function testing, complete blood count to assess for anemia (including iron studies), vitamin B12 levels (especially if taking metformin), and metabolic panel to evaluate overall health status
1a) 5,6,7,8
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