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BMC Microbiol
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Emerging evidence suggests that vitamin B-12 may have an important role in other aspects of human health, including the composition and function of the gastrointestinal (gut) microbiome

Other contributing factors are the severity of your vitamin deficiency and how your body responds to the injections

While everyones body responds differently, many people notice a positive change in their energy and mental clarity within 24 to 72 hours