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The capsule itself remains unchanged and serves solely as the products shell-it is not a filler
Some patients feel as though they want more frequent injections, and occasionally we test levels to see if they are receiving adequate replacement, but Im not sure how strong the evidence is to support this. GPs should consider periodic vitamin B12 testing of higher-risk patients who take metformin, even if they dont display symptoms of deficiency, the UK medicines regulator said earlier this year
Long-term results depend on overall behavior change, not just injection use
However, it may take a few days or weeks before your vitamin B12 levels and symptoms, such as extreme tiredness or lack of energy, start to improve
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