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B12 plays essential roles in red blood cell formation, nervous system health, DNA synthesis, and energy metabolism

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STEP UP directly compared 7.2 mg with 2.4 mg and placebo over 72 weeks: FDA prescribing information

Early haematological response begins with reticulocytosis (increased production of immature red blood cells) typically by day 3-4 of treatment , particularly with injectable forms, though the full resolution of symptoms may take several weeks to months

However, depending on the severity of the bursitis or labral tear, your provider may recommend a series of two or three injections spaced several weeks apart to maximize healing and symptom resolution