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One big reason is less stomach acid

[2] [7] Treatment response should be monitored through clinical improvement, reticulocyte count (which typically rises within a week), and full blood count after 8 weeks

For nerve-related issues, it may take a few weeks for noticeable improvement

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You may wish to discuss testing with a healthcare professional if you: Experience ongoing unexplained fatigue Follow a vegan or vegetarian diet Have a history of gastrointestinal surgery or digestive conditions Have previously been diagnosed with low B12 Have symptoms such as numbness, tingling, or cognitive changes Testing helps determine whether B12 injections are appropriate or whether another cause should be investigated

Draw using the visual syringe guide