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The recovery timeline primarily depends on factors such as the deficiencys severity and duration, the presence of neurological symptoms, and any absorption issues

The body's response to B12 supplementation depends on overall health status, metabolism, and lifestyle habits

They'll do a physical exam to check for symptoms such as: A malar rash, the butterfly rash on your cheeks A discoid rash with red, scaly skin patches that cause scarring Photosensitivity, a skin reaction or sensitivity to sunlight Oral ulcers, open mouth sores Other symptoms could include: Arthritis, pain, inflammation, or swelling in your joints Nervous system problems, seizures, or psychosis Inflammation of the tissue around your lungs (pleuritis) or around your heart (pericarditis) Blood and urine tests can help your doctor see if you have other conditions that could be caused by lupus, including: Kidney problems, with either red blood cells or extra protein in your urine (proteinuria) A blood disorder, either a low red blood cell count (anemia), a low white blood cell count (leukopenia), fewer lymphocytes (lymphopenia), or fewer platelets (thrombocytopenia) An immunologic disorder, including certain cells or proteins, or a false-positive test for syphilis (antiphospholipid antibodies)

In many cases, individuals with B12 deficiency may receive injections once a week for several weeks, followed by less frequent maintenance injections, such as once a month