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Here are some factors that can affect how quickly you notice results: Severity of Deficiency: Individuals with mild deficiencies may experience quick relief, but those with very low B12 levels might require several doses before a noticeable difference occurs

Improved vitamin B12 fermentation process by adding rotenone to regulate the metabolism of Pseudomonas denitrificans

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Yes, but it requires a cold chain

Getting a prescription for vitamin B12 injection means you need a doctors watch