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The clinical symptoms of copper toxicity are severe and include severe abdominal pain, persistent vomiting, uncontrollable tremors, fever, anemia, and distinct metallic tastes

In most cases, vitamin B12 injections are administered either monthly or every few months to maintain optimal levels

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In cases of documented vitamin deficiency, the regimen could be an initial intensive phase (like 2 mL IM three times a week for 2 weeks) followed by reevaluation