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Description
suffering from any condition that requires treatment with vitamin B 12 such as pernicious anaemia and strict vegans

Preclinical timelines run over weeks meaningful model-level changes appear across roughly weeks 412, not in the first days

Long-term vitamin B12 deficiency of greater than 3 months may result in irreversible degenerative lesions of the spinal cord (CNS)

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Key considerations if a patient discloses combined use include: Gastrointestinal effects : Both agents may independently cause nausea, vomiting, or appetite suppression
