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"Pernicious" means "harmful" or "destructive." This type of B12 deficiency anemia can affect many body systems and cause problems in your gut, heart, and muscles

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Injection site reactions including redness and mild swelling are the most common

Avoid injecting into the same spot more than once every 4 to 6 weeks

Hematologic and biochemical monitoring throughout the trials revealed no concerning patterns in blood counts, liver function tests, kidney function markers, or other laboratory parameters

Clinical Update 2/03/2018 Lead in Maca Powder A woman in California who was taking maca powder daily to treat fatigue found it was also increasing the concentration of lead in her blood