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Oral cyanocobalamin supplementation (typically 50150 micrograms daily) represents an appropriate option for patients with dietary deficiency without intrinsic factor deficiency or malabsorption issues

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They include: Fatigue and weakness Shortness of breath Pale or yellowish skin Neurological changes, such as numbness or tingling in the hands and feet These symptoms can really affect your life

Difficulty: Moderate Climate: Warm Highest elevation: 2970 m / 9744.1 ft Campsite in Santa Rosa Day 2: Santa Rosa Marampata Meals: (optional Breakfast), 1 Lunch, 1 Dinner & Snacks Approximate hiking time: ~7 hrs