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For some of our patientsespecially those experiencing significant symptoms like fatigue, weakness, or numbnesspositive changes such as increased energy or improved mood can begin as early as 24 to 72 hours after the first injection

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Neomycin, colchicine, para-aminosalicylic acid, or excessive alcohol intake longer than two weeks may cause malabsorption of vitamin B12. Chloramphenicol and other drugs having bone marrow suppressant properties may cause a lack of therapeutic response to vitamin B12

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