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There are various potential causes of vitamin B12 deficiency besides pernicious anemia, which gastrointestinal surgery long-term use of certain medications, such as proton pump inhibitors genetic intrinsic factor defects dietary deficiency Pernicious anemia requires lifelong treatment

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For othersparticularly those with severe B12 deficiency or symptoms that have been present for a long timeit might take several days to a few weeks to experience noticeable improvement

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After cleaning the site to prevent infection, the nurse will insert a new IV line into the other arm to continue your treatment