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Typically people do not start to experience symptoms until after they are 30 years old, and the average age of diagnosis is 60

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These require dermatologist evaluation for other causes beyond medication

[13] In a newly diagnosed vitamin B 12 -deficient patient, normally defined as when serum levels are less than 200 pg/ml, daily IM injections of hydroxocobalamin up to 1,000 g (1 mg) per day are given to replenish the body's depleted cobalamin stores

B12 injections are generally considered safe when administered by a licensed healthcare professional

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