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Results After Treatment When to Expect Results Patients typically notice gradual improvements following the infusion

This is why intranasal was the most studied human route despite lower total bioavailability compared to IV

Patients often ask how long these benefits last, and most see clear improvement that continues after completing treatment

In UK practice, monitoring is primarily based on clinical response rather than routine blood tests, as post-treatment serum B12 measurements can be misleadingly high and may not reflect tissue levels

Nakano et al., 2003)