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The early signs you notice after starting B12 treatment indicate that your body is responding to the therapy

In addition, the authors thank Lindsay Uglow of Spirit Medical Communications Group Limited for medical writing and editorial assistance (funded by Novo Nordisk A/S) and Christin Lth Hertz of Novo Nordisk for reviewing the manuscript

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For patients receiving intramuscular B12 injectionsthe standard treatment for pernicious anaemia and severe deficiency neurological symptoms may start improving within one to two weeks , whilst haematological parameters typically normalise within approximately eight weeks