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Because this formulation provides multiple B vitamins at significant doses, it is important to consider how each component might interact with medications or other supplements the patient is taking
Reconstitute by injecting bacteriostatic water slowly down the vial wallnever directly onto the peptide powder, which causes aggregation
The first objective landmark I rely on is the peak reticulocyte count 1 week after starting treatment
A few years in and My surgery was taken over with all new staff and almost immediately questioned why I was having injections 8 weekly and despite my true explanation called me in where a new Dr not only said I was to go back to 12 weekly injections but when I disagreed she then tried to say I didn't have Pernicious Anaemia as my Intrinsic factor test was negative
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