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[4] Other symptoms may include shortness of breath, feeling faint, a smooth red tongue, pale skin, chest pain, nausea and vomiting, loss of appetite, heartburn, numbness in the hands and feet, difficulty walking, memory loss, muscle weakness, poor reflexes, blurred vision, clumsiness, depression, and confusion

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For this reason, high-dose oral supplementation or alternative delivery routes are preferred: High-dose oral cyanocobalamin tablets (typically 1,000 micrograms daily) are the standard oral option in the UK

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Studies on PRP and exosome therapy demonstrate decreases in pain levels, increases in mobility, and enhanced day-to-day function in many patients