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Vitamin B12 Replacement Therapy The main treatment for pernicious anemia is vitamin B12 replacement therapy

The medication format should determine whether an attached needle or detachable needle setup is needed

Consult a licensed provider before treatment if you are pregnant or breastfeeding, have significant liver or kidney disease, have a history of allergies to any ingredient (including B12/cobalt), are taking other medications, or have unmanaged medical conditions

Contact your local health department or sanitation service to learn the correct procedure for needle disposal in your area

A study from north-west India