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In another study on a population of 24 patients with MS, lower B12 levels were observed when compared with healthy controls

The time it takes for B12 treatment to work depends on several factors, including the severity of deficiency, the route of administration, and individual patient characteristics

Certain medications can affect B12 levels, including proton pump inhibitors, such as omeprazole (Prilose) and lansoprazole (Prevacid) and histamine 2-receptor antagonists, such as cimetidine (Tagamet) and ranitidine (Zantac)

Most patients are surprised to learn that fat loss can be guided biologically without extreme diets or risky medications

Instead, most people may only experience chronic fatigue or frequent headaches from B12 deficiency