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[6] Blood tests may show fewer but larger red blood cells, low numbers of young red blood cells, low levels of vitamin B 12 , and antibodies to intrinsic factor

Sounds weird, I know, but the research is compelling

What to expect after your B12 booster After your injection, you may notice: Improved energy and alertness within 12 days Brighter mood and better focus Enhanced motivation and productivity Healthier skin tone over the following weeks These effects typically build gradually as your vitamin levels stabilise

The Role of Gene JAK2 in Polycythemia Vera Mutations in the gene JAK2 have been implicated in polycythemia vera incidence