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What changes is accumulated risk and your ability to justify the vial
Patients with clinically confirmed deficiencies may begin with weekly injections and then transition to a maintenance schedule
The 2024 NICE NG239 guideline on vitamin B12 deficiency in over-16s lists the main groups who need injections: Autoimmune gastritis (pernicious anaemia)
Now, I wrap my vials in foil, refrigerate open and unopened and toss the opened vial after 28 days
Vitamin B12 injections are crucial for individuals with deficiencies as they help produce red blood cells, nerve function, and DNA synthesis
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