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They may say its okay to stay on your multivitamin, itll just ensure youre getting everything else too, or they may prefer you stop it during injection treatment to accurately assess what the injection alone is doing for you

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Neuropsychiatric symptoms from vitamin B12 deficiency generally improve gradually with treatment, with noticeable changes beginning around 3 months after initiation and continuing for up to a year

Environmental factors like UV exposure or pollution accelerate this by inducing more DNA damage, thus more PARP activity

doi:10.1111/j.1365-2141.2009.07937.x