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For patients with adequate levels, the injections are unlikely to deliver the dramatic results that marketing materials suggest

He added that B12 deficiency "can be undiagnosed or underdiagnosed since symptoms can be nonspecific," like cognitive slowing, fatigue, tongue swelling, arm or leg tingling, and difficulty walking

Most people begin to feel improvements in energy and mental clarity within a few days, though mood, nerve, and red blood cell benefits continue to build over several weeks