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intramuscular administration of vitamin B12 for the treatment of its deficiency

Of course we cant know if this imposed reduced frequency had any impact however the word pernicious springs to mind

As to the aches and pains, breathlessness etc, this could be due to B12 needing potassium to build RBC, so I would check out low potassium symptoms and eat a banana or maybe two until you have fathomed it out

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