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Hitz, G

[PubMed: 17255210] 29

How quickly you respond depends on: How low your B12 levels are How long symptoms have been present Your overall health Whether there are underlying absorption problems Whether repeat treatment is needed It is important to have realistic expectations

The alterations of microflora, oxidative stress, and the activation of AhR cause the induction of an inflammatory cascade in the skin

Those individuals may not convert cyanocobalamin efficiently, which could slow symptom relief despite adequate blood levels