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Kim, S.-J., and G

Depending on the individual, they start working within 48 to 72 hours of the first dose, but they might take three months to completely correct a B12 deficiency

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Methotrexate, heparin and insulin are all automatically given to patients to self inject at home, but all these are medications which need strict control, in contrast B12 injections (hydroxocobalamin) cannot be overdosed