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In this case, the B12 shots have started to heal the damaged neurons myelin sheath, but the neural network in which the healed neuron is in, is in a super sensitive state (with extra receptors), so the patient may feel pain or other unpleasant sensations

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How Long Does It Take for B12 Injections to Work

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LC-MS Mass spectrometry should show an ion consistent with the 5-amino-1-methylquinolinium component