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But one question looms large for anyone starting on this treatment path: how quickly do the injections start to work, and what factors influence their effectiveness

Intravenous delivery results in immediate full-concentration exposure and typically the shortest apparent half-life because peak plasma levels degrade the fastest

It is important to check for coexistent folate and iron deficiency

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In these cases, a maintenance injection is often needed every 2-3 months to keep levels stable, as the body cant consistently source it otherwise