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Overall, the most common symptoms of pernicious anemia are fatigue (55%), loss of sensation in limbs (32%), excessive weight loss (27%), and a sore tongue (23%) (221)

Consider replacing the vial or transferring remaining volume to a sterile container to reset contamination exposure

Soft tissues, tendons, and ligaments stabilize the bony articulations

Dyspepsia, characterized by upper abdominal discomfort, early satiety, or postprandial fullness, may affect a similar proportion of patients and can contribute to reduced caloric intake and weight loss, though it may also impact quality of life if severe or persistent