Your provider will use blood tests to track your progress and make sure your B12 levels are rising as expected
Ask whether the appearance matches their quality specifications for that lot
However, not everyone notices immediate changes

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Aside from vegetarians, people at risk for a B12 deficiency include those with pernicious anemia, people who have had intestinal surgery such as gastric bypass, those with Crohns or celiac disease, and anyone whose stomach does not produce enough hydrochloric acid to absorb the vitamin B12 thats naturally present in food