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This delay can worsen symptoms and impact every area of life: energy, mental clarity, relationships, and work performance

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A reminder

Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months

Adverse systemic effects only showed up in animal studies at exposures roughly 200x higher than what people get from cosmetics