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Management includes oral or intravenous corticosteroids, intravenous immunoglobulin, pyridostigmine, and plasmapheresis

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If supplementation is responsible, your doctor may recommend reducing or stopping non-essential B12 intake, with repeat testing after an appropriate interval (typically 2-3 months, or longer if you've had recent injections or have kidney disease)

Why Subcutaneous Injection

No long-term human safety data: The absence of evidence of harm is not evidence of absence

Hair shedding can be reported with significant or rapid weight change in general