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In cases where another chronic condition is causing B12 deficiency, patients may be recommended to come in every 2 or 3 months for injections to keep symptoms under control

Haematological responses typically occur within 1-2 weeks, but neurological recovery may take months and can be incomplete if the deficiency has been prolonged

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Though there appear to be no risk and few symptoms associated with too much B12, its wise to keep your level within the upper limit of the standard test range.