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If you're taking hydroxocobalamin, keep the following things in mind: Although this injection takes effect right away, it may take some days or even a few weeks for you to get back to health

1,2 It is coabsorbed with intrinsic factor, a product of the stomach's parietal cells, in the terminal ileum after being extracted by gastric acid 1,2 (Figure 1 3 )

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It can take several years for deficiency to develop in those switching to a vegan diet, as the body stores B12 in the liver

Handbook of Pharmaceutical Excipients

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