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It's worth noting that recovery follows a predictable pattern: blood cell production typically begins improving within 3-5 days, haemoglobin rises over 1-2 months, while neurological recovery may take several months

Less frequently, some people might experience temporary fatigue, dizziness, or nausea

Concurrent medications (metformin, PPIs, antibiotics) and underlying gastrointestinal conditions may cause diarrhoea coinciding with B12 supplementation

Cyanocobalamin is a synthetic version that requires conversion before it becomes active

Once opened, vials remain microbiologically stable for up to 28 days when stored appropriately