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When to contact a healthcare provider: Persistent vomiting, severe abdominal pain, signs of dehydration (dark urine, dizziness, dry mouth), or any symptoms that prevent normal daily activities
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A doctor may recommend vitamin B12 shots if a person has a vitamin B12 deficiency
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The AAFPs evidence-based clinical review states directly: Oral administration of high-dose vitamin B12 (1 to 2 mg daily) is as effective as intramuscular administration for correcting anemia and neurologic symptoms in patients with B12 deficiency (Langan RC, Goodbred AJ, American Family Physician, 2017)
