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Peripheral neuropathy, subacute combined degeneration of the spinal cord, or cognitive impairment indicate more advanced deficiency and generally require intensive treatment over extended periods
An injection bypasses that route
The Long-Term Timeline: 2 to 3 Months and Beyond The most lasting benefits are structural and take time, especially where the nervous system is concerned
Your GP may arrange periodic blood tests to ensure B12 levels remain adequate, though clinical response is generally more important than specific blood values once treatment is established
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