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There was also no long-term follow-up to assess if any delayed complications (for example, abnormal tissue growth or tumor formation) occurred after the injection

However, other studies haven't seen a link between low levels of B12 and cognitive problems or an improvement in these symptoms after getting extra doses of B12

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There is no immediate rush of focus or energy

Most people begin to notice improvements within 2-4 weeks of starting at home B12 injection therapy