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Timeline varies by symptom: Energy and mood: 3-6 weeks Libido improvement: 3-6 weeks Mental clarity: 4-8 weeks Body composition changes: 12-16 weeks Maximum benefits: 6-12 months What if my levels were normal but I still have symptoms

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Link below outlines UK treatment patterns for people with B12 deficiency aged 16 onwards cks.nice.org.uk/topics/anae

MS is characterized by damage of myelin associated with infiltrating immune cells and inflammation that leads to progressive axonal degeneration and synaptic loss, coupled with the recruitment of resident microglia to sites of myelin injury (Lassmann, 2001, OLoughlin et al., 2018)