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Most people start noticing visible improvement within 6 to 8 weeks, with more significant changes developing over 3 to 6 months of consistent use

There is only one type of vitamin B12 injection available in the UK, known as hydroxocobalamin

A serum B 12 concentration below 148 pmol/L (depending on the assay) with symptoms (box 1) is a strong indication of deficiency and is sufficient to start treatment

Stay Hydrated : Drink plenty of water throughout the day to help maintain optimal fat metabolism

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