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It all depends on how often you receive vitamin B12 shots and how your body reacts to vitamin B12 shots

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This dysfunction affects multiple organs, with respiratory failure being the most common, and cardiovascular failure often leading to the worst outcomes [69]

[1] [2] Some patients report reduced symptoms within weeks of starting treatment, whilst others may require several months of consistent supplementation before noticing significant improvement

" Sadly I don't know the answer to that as I'm not medically trained