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[DOI] [PubMed] [Google Scholar] Stabler 2013 Stabler SP

A- In some patients, it only takes a few weeks to notice an increase in energy levels and improvement in nerve symptoms, although a full cure can take much longer, depending on how bad the deficiency is and how compliant the patient is

Understanding why this occursfrom metabolic adjustment and nutrient demands to injection site reactionshelps distinguish expected responses from complications requiring medical attention

The clinical evidence-based analysis has found that oral supplementation is as effective as intramuscular injections

Anyone who has not had B12 deficiency confirmed by blood testing, unless directed otherwise by a physician