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The minus sign represents a societal weighting or trade-off, not a simple mathematical subtraction

10.1016/j.phymed.2021.153743 87 WenzelU

You should start to see improvements within a few days to a week, however if you do not feel the effects after 2-3 injection sessions, then it is likely that you were and are not deficient in B12

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No need to visit a clinic or wait in long hospital queues, this injection can be administered safely and comfortably right at home

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