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Patients should be monitored by their prescribing clinician, especially those taking cardiac medications

It can take a few weeks to a month to notice the effects of B12 shots, since your body has to replenish your stores of this vitamin

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Despite B12s importance, deficiency affects an estimated 15% of the general population, with rates climbing significantly higher among certain groups

In addition, the concentration of cyanocobalamin is detectable in plasma only in smokers due to the increased cyanide exposure of cigarette smoke in combination with the dietary supplement (Domke et al., 2004)