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2025 Mar;31(3):1038

The usage of leaded gasoline was banned in US from 1970, followed by 1975 many countries including Western Europe, Korea, Thailand, Australia, China, Vietnam, the Philippines, Japan, Canada, Mexico, Central and South America stopped using this of leaded gasoline [3]

Incidence increases with age, and altered TSH antigenicity or decrease in autoimmune tolerance have been proposed as pathogenic mechanism (39)

In other words, you get B12 at the same rate you use it

Track both fasting and postprandial blood sugars

Your doctor will likely want to recheck your B12 levels and your complete blood count after a few months to make sure the treatment is working and your levels are where they should be