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Many do well on oral supplements, but someone who is already symptomatic and confirmed low may recover faster with injections before switching to oral maintenance
Such patients often are prescribed supplemental B
The alleviation of symptoms that are treated through vitamin B12 injections including fatigue and lethargy can start to be noticed after a few days and will continue to improve for multiple weeks
Decreased cognitive function, fatigue, lethargy, fainting, depression or irritability, headache, balance issues, and other symptoms are all possible side effects of B12 deficiency
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