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Many people feel a noticeable lift in energy within just a few hours, while peak effects often develop over the next 2448 hours

[DOI] [PMC free article] [PubMed] [Google Scholar] 69.Li X, Feng L, Zhang C, Wang J, Wang S, Hu L

Prompt parenteral (intramuscular) B12 treatment is recommended in such cases, in line with BSH guidance, to prevent further or irreversible neurological injury

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