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These symptoms are usually dose-related and often improve with slower dose increases, smaller meals, hydration, and avoiding overeating
The British Society for Haematology emphasises that treatment should not be delayed whilst awaiting confirmatory test results if clinical suspicion of B12 deficiency is high, particularly when neurological symptoms are present
Some patients benefit from weekly injections, while others may only need one once a month
Once opened, bacteriostatic water should be discarded after 28 days to maintain sterility and prevent contamination
Baazim, H
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