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The alleviation of symptoms that are treated through vitamin B12 injections including fatigue and lethargy can start to be noticed after a few days and will continue to improve for multiple weeks
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Most critically, patients with active malignancies or significant cancer risk factors may not be appropriate candidates due to the potential for promoting tumor growth and metastasis through angiogenesis stimulation
Journal of the science of food and agriculture , 90 (2), 329337
PMID 9546215
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