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After two to three months, you may notice better muscle tone and mass, heightened strength and endurance, fat reduction and weight loss, and skin improvements

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However, most cases are due to excess supplementation or due to a functional deficiency, where the person is actually deficient in B12

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Eur Spine J 7:501504 Ismail II, Massoud F, Alexander KJ, Al-Hashel JY (2019) Compressive dorsal myelopathy secondary to extramedullary hematopoiesis in a thalassemic patient