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Signs and symptoms of low blood sugar may include: dizziness or lightheadedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, and feeling jittery

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Criteria for treatment and management Optimum maintenance dose is 1000 g at intervals of 12 weeks Follow-up annual blood count is required to avoid relapse You see the obsession with blood values and yet no instruction to listen to patients, some of whom relapse only a matter of days post injection

It delivers a high dose of the vitamin directly into the bloodstream, bypassing the gastrointestinal tract