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Fatigue, mood swings, or neurological symptoms dragging you down
It includes a city tour in Lima, visits to Cuscos main archaeological sites, the Sacred Valley tour, entrance to Machu Picchu with a specialized guide, train transfers, and an unforgettable extension to Puno to explore Lake Titicaca
The standard regimen involves: Loading doses without neurological involvement : 1 mg intramuscularly three times a week for 2 weeks [3] [8] Loading doses with neurological involvement : 1 mg intramuscularly on alternate days until no further improvement [3] [8] Maintenance therapy : 1 mg every 23 months for life in cases of pernicious anaemia or irreversible malabsorption (every 2 months if neurological involvement) [3] [8] This aggressive approach aims to prevent irreversible neurological damage, though recovery of established neuropathy may be incomplete, particularly if treatment is delayed
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Most people living in industrialized nations tend to get enough vitamin B12, although not all
Treat it with the same priority as important medications
