Recovering from illness or surgery , or if you get sick often
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If you experience any combination of these symptoms, particularly if you have risk factors, it is important to seek medical assessment promptly
Patients receiving long-term therapy with omeprazole or other proton pump inhibitors (PPIs) should be monitored for signs of B12deficiency
The most common symptoms include fatigue, pale or yellow skin, difficulty concentrating, headaches, gastrointestinal upset, depression, and numbness or tingling in the hands or feet
This timeline matches B12 pharmacokinetics: intramuscular methylcobalamin reaches peak serum concentration at 8-12 hours, but tissue saturation (particularly in the liver and nervous system) occurs over 48-72 hours as the vitamin is transported into cells and converted to active coenzyme forms (Andrs et al., 2018)