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[DOI] [PubMed] [Google Scholar] 41.Sanyal Arun J, Pierre B, Mandy F, Neff Guy W, Eric L, Elisabetta B et al

Failure to reset hypoxia/Warburg effect after viral clearance in COVID-19 survivors, could eventually evoke PASC with metabolic impairments including new onset T2DM, myocardial infarction, chronic fatigue syndrome (CFS), brain fog, and blood clotting issues 141

For patients receiving intramuscular B12 injectionsthe standard treatment for pernicious anaemia and severe deficiency neurological symptoms may start improving within one to two weeks , whilst haematological parameters typically normalise within approximately eight weeks

That means modest oral doses produce circulating levels similar to those used in successful trials