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If you have a genuine B12 deficiency and symptoms are linked to it, some people notice improvement in energy over days to a couple of weeks

High-dose therapy may also cause a brief increase in blood pressure, though this usually returns to baseline within a few hours

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I've lost 20lbs in just a month and feel more in control of my appetite

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This typically adds 2 to 6 pounds of water weight in weeks 2 through 8 and resolves on its own