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The effects of the shot can begin after a few hours, lasting anywhere from a few days to weeks

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& Rastinejad, F

Keep doses at least several days apart if the day is ever shifted

2001 May;24(5):875-80

Worsening macrocytic anemia : B 12 deficiency may also cause a macrocytic (megaloblastic) anemia BUT, in the presence of folate supplementation, this anemia may be masked so that B 12 deficiency may present with exclusively neurologic features