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Management strategies include: Taking the injection before bed so nausea occurs during sleep Starting at a lower dose and increasing gradually Taking an over-the-counter anti-nausea medication 30 minutes before injection (with physician approval) Eating a small, bland meal before injection Facial Flushing A warm, red flush across the face and sometimes the upper body is common shortly after injection

T., Lautt, W

More Dominoes: Another domino that can cause pernicious anemia is a lack of vitamin B12 in the diet

Those eating less than 100g protein/day didnt see much benefit, regardless of supplement