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Many people need B12 injections to show improvement in their symptoms

In extreme cases, people with pernicious anemia or a related condition known as vitamin B12 deficiency myelopathy can develop nerve damage related to vitamin B12 deficiency

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Despite the importance of diet and weight management, however, these alone are usually not enough to prevent gout attacks in most people, who will require medications to bring their uric acid levels down to the desirable amount
