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Some people notice improved energy within a few days, while others may take longer depending on their B12 levels

Motor : muscle weakness, ataxia, reduced reflexes (if peripheral neuropathy) or increased reflexes and/or upgoing plantars (if central neuropathy)

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In the United States, patients usually receive vitamin B 12 injections of 1 mg/d in their first week of treatment

Combining those with your injection could push you into very high intake territory