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If a patient is deficient in active Vitamin B6 (a common occurrence due to the gut dysbiosis frequently seen in Long COVID), the transsulfuration pathway becomes completely blocked

For someone with a deficiency, symptoms such as fatigue or weakness may begin to improve in days to weeks after B12 treatment

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In rare cases you may suffer bruising, redness, swelling or itching at the injection site which is normally transient and limited to 48 hours

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