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This approach allows you to identify what's actually working and avoid paying for redundant or ineffective additions

Not everyone may feel confident doing this, and improper administration can lead to complications

Serious reactions are rare, but an allergic reaction is possible with any injection, which is another reason a first dose in trained hands is sensible

While high-dose oral B12 (1,000 mcg daily) may be effective in some cases, intramuscular hydroxocobalamin remains the standard NHS practice

Using your other hand, slowly pull the plunger of the syringe down until the tip of the plunger is past the syringes 0.5 mL line