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Some neurological symptoms may continue improving for up to 1218 months, though permanent damage can occur if deficiency was severe and prolonged

Blood tests and other diagnostic measures can help identify specific deficiencies or conditions the injections could address

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If results remain unexplained, particularly with very high levels, further investigation may include imaging or haematology referral depending on clinical context and associated abnormalities

Adequate levels of vitamin B12 help maintain healthy red blood cell production