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When it comes to supplements, taking high doses of vitamin C at the same time as your B12 shot might slightly lower the amount of B12 your body can use, but this is more relevant for oral B12 supplements than injections
Neurological symptoms may take 36 months to fully resolve, and some nerve damage may be permanent if treatment was delayed beyond 12 months
If there is clinical improvement and if a reticulocyte response is observed, the same amount may be given on alternate days for seven doses, then every 3 to 4 days for another 2 to 3 weeks
B12 is essential for the methylation reactions required to produce the lipids and proteins that constitute myelin
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