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[41] : 974975 Signs of low vitamin levels in infants and young children can include anemia, poor physical growth, and neurodevelopmental delays

Its not a one-size-fits-all answer

For many post-op patients in the UK, high-dose oral B12 supplements can now replace injections especially when taken consistently as part of a complete multivitamin routine

When should I contact my GP if B12 injections aren't working

While this idea is somewhat simplified, its intriguing His hypothesis suggests that the sudden influx of B12 can kickstart repair processes, and if there has been long-standing damage, the rapid onset of these processes might overwhelm the system, causing a temporary worsening of symptoms