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Dosage Modifications for Elderly Patients Elderly patients might need different B12 doses

Most patients begin to notice symptom relief within a few days of starting the treatment, especially in cases of fatigue and mild neuropathy

Summary: Vitamin B12 supplements can occasionally cause mild stomach side effects including nausea, diarrhoea, abdominal cramping, and indigestion, though these are generally uncommon and temporary

Vitamin B12 also helps to break down carbohydrates and turn fats and proteins into energy, so if you're not getting enough B12, your body might not be doing these things well, resulting in some unwanted weight loss