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According to the National Institutes of Health (NIH), vitamin B12 supports a healthy central nervous system, red blood cell formation, and the synthesis of genetic material like DNA [1]

Smatov, S., Mukasheva, F., & Erisken, C

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Most people having B12 injections (intramuscular) will see an improvement in the first 24 hours, but the hematological response, including the quick production of new red blood cells, may take several days to months for a full response

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Less acid means less available B12