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Many doctors routinely fail to understand the reality of this debilitating condition

Typically, people with vitamin 12 deficiency may develop skin darkening on the hands, feet, gums, and tongue

Although Provera (medroxyprogresterone acetate) may have a short term impact on ovulation (by delaying it) it does not affect fertility in the long term

[DOI] [PMC free article] [PubMed] [Google Scholar] 10.Prevalence of MR imaging abnormalities in vitamin B12 deficiency patients presenting with clinical features of subacute combined degeneration of the spinal cord

Other side effects that have been reported include infection at the injection site, venous thrombosis , tissue death, abscess formation, fever, and febrile responses