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Untreated pernicious anemia can cause vitamin B12 deficiency leading to megaloblastic anemia and neurological disorders, even in the presence of adequate dietary intake of vitamin B12. 7

A typical 5 mg vial reconstituted for subcutaneous injection lasts roughly 10 to 20 days depending on dose, meaning most patients need two to three vials per month 1

Amari, and A.A