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Gut symptoms often show first improvements within 2 to 4 weeks, while tendon and ligament changes usually begin around 3 to 4 weeks after a protocol that had stalled in physical therapy
The standard regimen involves: Loading doses without neurological involvement : 1 mg intramuscularly three times a week for 2 weeks [3] [8] Loading doses with neurological involvement : 1 mg intramuscularly on alternate days until no further improvement [3] [8] Maintenance therapy : 1 mg every 23 months for life in cases of pernicious anaemia or irreversible malabsorption (every 2 months if neurological involvement) [3] [8] This aggressive approach aims to prevent irreversible neurological damage, though recovery of established neuropathy may be incomplete, particularly if treatment is delayed
some products contain higher concentrations of alcohol
sometimes they may recommend a nutrition plan tailored to your condition (for instance, high-protein diet if you have wounds to heal, etc., along with the vitamins)
Even if you eat a diet rich in animal protein, its still possible to be deficient in vitamin B12, which is where the shots come into play
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