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28 People often continue to experience mild neurological symptoms such as poor memory, impaired concentration, and fatigue even after adequate B 12 replacement (eg, therapy according to the BNF suggested treatment regimen) 9 17 29 and many patients report they need additional treatment

If B12 levels were low to begin with, longer-term benefits like red blood cell production or nervous system support may take several weeks

Warfarin: changes in metabolism may alter anticoagulant effects
