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Some factors that influence how long the shot lasts include: Lifestyle and stress levels Diet and alcohol consumption Existing health conditions (e.g., pernicious anemia, digestive disorders) How quickly your body uses or excretes B12 If your energy starts fading or symptoms return before your next scheduled shot, let your provider know

Retrieved from Millennium Physicians

This is extremely worrying for patients who are due, or overdue, their injection and are suffering from the symptoms of B12 Deficiency including some with neurological symptoms
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OMICS 16 , 284287 (2012)
