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Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months

However, the direct impact of Vitamin B12 on weight loss remains a heated debate, with current medical research not fully substantiating these claims

Its helpful to track how you feel in the days following your first shot

As the body doesnt make B12 or store it for a long time, supplementation may be required for those at risk of deficiency

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