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This condition may arise due to insufficient dietary intake (resulting from several factors, including: a) the exclusive presence of B12 in animal-derived foods
The side effects we see in clinic are generally mild: transient injection site reaction, occasional mild nausea if starting at too high a dose, infrequent headache or lightheadedness in the first week
Eating more protein, dairy, and fewer refined and processed foods is a good start to a more metabolically efficient diet
Neurological symptoms may take longer to resolveoften several weeks to monthsand improvement may be gradual rather than immediate
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