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For oral supplementation in individuals with adequate absorption capacity, serum B12 levels typically begin rising within one to two weeks of starting treatment

We focused on individuals with type 2 diabetes on metformin

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Diagnosis typically involves blood tests including full blood count (showing macrocytosis), anti-intrinsic factor antibodies (which are specific for pernicious anaemia), and sometimes anti-parietal cell antibodies

Inject diluent slowly down the inside wall of the vial do not shake vigorously