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For some conditions, particularly those affecting the hair or the skin, it may take up to 6 months to notice the full effects

Signs include: headache heart palpitations shortness of breath brain fog chronic fatigue inability to concentrate weakness Source: HERE Are Injections Necessary

Classically, these patients may have a lucid interval after the trauma, followed by loss of consciousness as the epidural hematoma rapidly expands

Some cancers, particularly those affecting the stomach or intestines, may interfere with B12 absorption