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Most people report feeling the effects within 48 to 72 hours of the first dose

Pakistan Journal of Biochemistry & Molecular Biology
Vitamin B12 Deficiency and Management During Pregnancy In addition to anaemia, symptoms of vitamin B12 deficiency may include: Fatigue Breathlessness Nervous system symptoms such as numbness, tingling or poor balance Poor concentration or memory Paleness Mood changes, including low mood, anxiety or disrupted sleep Some women are more susceptible to vitamin B12 deficiency than others

They never compete

The study by Hendren et al

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