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Oral treatment generally requires four to six weeks before noticeable improvements occur , and compliance is essential for success

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Give yourself the injection Take the syringe out of its package

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Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)