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Individual results depend on dose, adherence, lifestyle, and medical history, and are determined in consultation with your licensed provider

El Sahly says that it only happens in a small fraction of people

Maintenance therapy for patients with neurological involvement may also be more frequent, sometimes every two months rather than three, though this should be individualised based on clinical response

[1] [4] Mood changes including low mood, irritability, or anxiety can be associated with declining B12 levels, though these symptoms are non-specific and can have many causes
