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As you are technically absorbing lower amounts of B12 over time, it might take a while for symptoms to reduce

How Long Does It Take to Become Vitamin B12-Deficient and What Are the Symptoms

10.1038/nsmb.2990 [DOI] [PMC free article] [PubMed] [Google Scholar] 54.Raghuramulu N, Srikantia SG, Rao BS, Gopalan C

2 Benditz A, Brunner M, Zeman F, Greimel F, Florian V, Boluki D, Grifka J, Weber M, Renkawitz T