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With neurological symptoms: 1000 g intramuscularly on alternate days should be continued for up to three weeks or until there is no further improvement

Appendix G: Taking Vitamin B12 With or Without Food Stephen Walsh summarizes the evidence from four papers on B12 absorption (Doets, 2012

Early recognition and treatment can prevent progression and allow nail health to recover over subsequent months as new nail growth replaces the affected tissue

Those of you familiar with B12 injections will note this is uncharacteristic of B12 alone

If you had b12 deficiency for a long time it may take months before you see a regression of your symptoms

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