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Baldridge, M

If you have some of those symptoms especially if you have a low red blood cell count you should talk to your doctor about further blood tests for vitamin B12

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stiffness and resistance to limb movement caused by increased muscle tone and/ gait and posture disturbances such as festination (rapid shuffling steps and a forward-flexed posture when walking), speech and swallowing disturbances including voice disorders, masklike face expression or small handwriting, although the range of possible motor problems that can appear is large

Detailed injection technique instructions reduce discomfort