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For those with a genuine, diagnosed B12 deficiency causing their fatigue, improvements can sometimes be noticed within a few days to a week

Vitamin B12 injections can be accessed via the NHS

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When hydroxocobalamin is given in high doses (such as during cyanide poisoning treatment), unique effects can be observed: patients often experience a transient reddening of the skin or mucous membranes and a reddish discoloration of the urine due to drug excretion

Its uncommon because B12 is water-soluble, and excess amounts leave the body naturally

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