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However, due to factors such as diet, age, or other medical conditions, some individuals may struggle to get enough B12 from their diet alone

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Some patients feel an energy boost within a few days, while others with severe neurological symptoms may take several weeks of treatment before noticing improvement

The deficiency was more severe than expected People with advanced B12 deficiency, especially with neurological symptoms, often feel rough at the start of treatment because the underlying problem was significant

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