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Most people start to notice an improvement in symptoms from vitamin B12 deficiency within the first week

Poor dietary intake of B12-rich foods, such as meat, fish, and dairy products, is one of the most common causes of vitamin B12 deficiency

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So, if your vitamin B12 deficiency is due to an autoimmune disease in which your stomach doesn't make intrinsic factor, supplements might not work for you, and you will need injections