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Dramatically Improved Sleep Quality Often the first benefit noticed – usually within 1-2 weeks: Deeper, more restorative sleep Faster sleep onset Fewer nighttime awakenings Wake feeling genuinely refreshed "Hot flashes are basically gone

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It might help you to print off the documents in the links I left, read through, and highlight anything that is relevant to your case, paying particular attention to: problems with serum B12 testing - especially once treatment has commenced, BSH guidelines for treatment - especially where neurological symptoms are concerned, the role (or not) of macrocytic anaemia, and the important of treating symptoms (not serum B12 levels or on the presence/absence of macrocytic anaemia)