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doi: 10.1016/j.jaut.2022.102814

It may have nothing to do with the B12 itself

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Several factors can influence how quickly youll experience benefits: Initial B12 Levels Those with severe deficiencies may notice more dramatic and rapid improvements compared to those with mild deficiencies

The severity of withdrawal varies based on your dependency level and concomitant medications hazards

Esophageal Stricture: Narrowing of the esophagus due to scar tissue, which can cause difficulty swallowing