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Signs to look out for include fatigue and lethargy, depression, irritability, headaches, difficulty with balance, decreased cognitive function, constipation, sore or swollen tongue, heart palpitations, mouth ulcers, pins and needles and changes to vision

Heres a breakdown of the typical timeline: Immediate Effects For some individuals, the effects of a Vitamin B12 shot can be felt almost immediately

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However, once diagnosed it presents a difficult management problem in patients suffering from pernicious anemia, as there is no substitute

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