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Sociodemographic characteristics Diagnosis (vitamin B12 deficiency or pernicious anaemia), age, sex, education level, employment status, country of residence (England, Wales, Scotland, Northern Ireland, Republic of Ireland), region of residence (nine English regions, according to the Office for National Statistics, Wales, Scotland, and Northern Ireland) were assessed using the questions in Supplementary Table S1

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3 Response to treatment can vary and depends on the cause of the vitamin B12 deficiency

Warnings: Keep out of reach of children

You need pharmaceutical-grade water specifically prepared for injections

While B-12 supplements and foods fortified with the vitamin are readily available, vitamin B-12 shots are only available by prescription, so a clinical diagnosis is always necessary