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Differentiating from Other Conditions Neurological signs and symptoms can be vitamin B12 deficiency associated or due to other causes such as: Pernicious anemia Syphilis Neurosyphilis Human immunodeficiency virus (HIV)-associated vacuolar myelopathy Toxic neuropathies Tropical myeloneuropathy Your healthcare provider can make a proper diagnosis based on your symptoms, medical history, physical exam, and laboratory test findings

There is also a difference in enzymes that metabolize alcohol in womens bodies, so it generally doesnt metabolize as fast, and the alcohol stays in their bodies for a longer time

If you are taught to self-administer, use the route, needle size, site, and technique provided by your care team

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