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[2] It is important to note that whilst fatigue and general malaise may improve relatively quickly, complete symptom resolution requires adequate time for the body to replenish B12 stores and repair affected tissues

When Symptoms Worsen: Understanding the Adjustment Period The period following B12 injection therapy can be challenging for some patients, with symptoms sometimes temporarily intensifying before improvement becomes apparent
A blood test is used to diagnose vitamin B12 deficiency

But if you saw yourself in any of the risk factors listed in Figure 1, then youll probably need to take supplements

Vitamin B12 deficiency anemia happens when your body doesnt have enough healthy red blood cells