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Most people report improvement in fatigue and anemia symptoms within 2472 hours after the first injection, especially with severe deficiency
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If B12 blood levels and MMA are both high, a functional B12 deficiency could be preventing B12 being useful at cell/tissue level
Timing considerations AOD 9604 works best when injected in a fasted state
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It is particularly common in individuals with certain risk factors, including those who have undergone gastric or small intestine resections, have inflammatory bowel disease, use metformin or proton pump inhibitors, follow a vegan diet, or are older than 75 years
