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Most people having B12 injections (intramuscular) will see an improvement in the first 24 hours, but the hematological response, including the quick production of new red blood cells, may take several days to months for a full response

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[12] Gastric acid-suppressing agents (proton-pump inhibitors and H-receptor antagonists) diminish dietary B12 liberation from protein complexes, a pharmacodynamic interaction that can exacerbate underlying deficiency

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