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The most common symptoms that are associated with anemia include: • Fatigue • General weakness • Lightheadedness or dizziness • Cold hands and feet • Shortness of breath • Irregular heartbeat • Headaches • Skin that is paler or tinted a bit yellow (easier to distinguish on those with lighter skin tones) The symptoms that are most often the reason that patients initially bring them to their physician and warrant a blood test include unexplainable fatigue and shortness of breath

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Specific Dosage Guidelines Severe Deficiency : For patients with severe vitamin B12 deficiency, an initial dose of 1 mg (1000 µg) of intramuscular hydroxocobalamin is commonly administered