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After that, lifelong monthly injections become the gold standard

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Factors That Influence Your Personal Timeline The timeline above is typical, but several factors shape how fast you personally see results

People Who Have Had Gastric Surgery Gastric bypass surgery (like Roux-en-Y), sleeve gastrectomy, or other bariatric procedures significantly reduce the stomachs ability to produce intrinsic factor a protein required to absorb B12 in the small intestine