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Consult your physician before use if you are pregnant, planning pregnancy, or breastfeeding

Neuropsychiatric symptoms from vitamin B12 deficiency generally improve gradually with treatment, with noticeable changes beginning around 3 months after initiation and continuing for up to a year

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Injection site irritation may increase slightly since you are adding a daily injection to your routine, but site rotation prevents this from becoming an issue

However, your specific schedule will depend on your individual response to treatment and any symptoms you may experience