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I sometimes liken it to a badly tuned radio on which you have turned the volume up high trying to catch the programme you want when all of a sudden the signal comes in loud and clear and the blast nearly deafens you

If present, gently tap the syringe barrel with your finger to move the bubbles to the top, then slowly push the plunger until a tiny drop appears at the needle tip

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The speed of response depends on how low vitamin B12 levels were before treatment and how long deficiency had been present