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Many people with autoimmune gastritis symptoms witness the following: Tingling or numbness in the feet and hands Burning feet at night Brain fog Memory lapses Mood swings or even depression Difficulty in concentrating Sometimes these symptoms appear even before anemia does

Some patients, particularly those with neurological involvement, may benefit from more frequent dosing (every 2 months rather than 3 months), but this should be medically supervised rather than self-adjusted

Burton and Mason, 1997

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The former guideline is important for two reasons