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Gastroenterology 106: 324335, 1994
Rodrigues, M., Kosaric, N., Bonham, C

However, it may take a few days or weeks before your vitamin B12 levels improve and symptoms (such as extreme tiredness or lack of energy) start to lessen

Patients were instructed to use high dose vitamin B12 nasal drops (5,000 mcg one nasal drop in each nostril, twice per week)
