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The time it takes for vitamin B12 (cobalamin) treatment to produce noticeable effects varies considerably depending on the severity of deficiency, the route of administration, and individual patient factors

The vitamin is delivered directly into your muscle tissue, from where it quickly enters your bloodstream and becomes available for your body to use

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As weve learned, optimizing B12 therapy means looking at each patients unique needs

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Use cautiously in patients with angina, recent myocardial infarction (MI), cerebrovascular accident (CVA), and hepatic or renal disease (guanabenz and guanfacine)