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Results appear within weeks for most conditions

Activity & rest: Engage in regular exercise and allow adequate rest and recovery

[9] If you do feel flush or itchy, it should be mild and short-lived

Patients should never double up on doses or take extra medication to compensate for missed doses, as this increases the risk of adverse effects without providing additional therapeutic benefit

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An additional difficulty in diagnosing cobalamin deficiency occurs in patients taking oral vitamin B12 supplementation who do not have absorption disorders