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Depending on the specific type of synthetic vitamin B12 used and local medical guidelines, these maintenance injections are typically given once a month or once every 2 to 3 months [6] [2]

The process typically begins within hours of administration and can remain active for 12-24 hours based on the sustained activation of lipolytic enzymes and metabolic pathways

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However, further studies are needed to conclusively clarify the mechanisms underlying these protective effects