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If you purchase vials in bulk, keep unopened vials frozen and only reconstitute them when you are ready to begin that particular vial

In addition, 90% of patients first experienced short episodes of heavy pain at the injection site which was supported by Guenoun et al

The result was an epidemic of vitamin B12 deficiency, especially in the northern climates of Europe, Russia, and North America

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Practices need to reinstate B12 injections for anyone who is well and can get to the surgery or prescribe B12 ampoules and sub cutaneous needles for people to collect from a pharmacy so that they, or someone close to them can give them their vital injection

Consider starting a new vial if you notice diminished effects