But, it is important to remember that pernicious anaemia has no permanent cure and hence it is a chronic condition that will need to be managed effectively in the long run
However, because B12 is stored in our livers, it might take a while for these deficiencies to show (Glass, 1959)
This helps streamline vendor processing while keeping quality stable throughout all of the different kinds of products purchased
If the GP says that she doesn't have macrocytic anaemia so doesn't need this pattern of treatment, you could point out that NICE guidelines for B12 deficiency say that "Note: clinical features of vitamin B12 deficiency can occur without anaemia and without low serum levels of vitamin B12." cks.nice.org.uk/topics/anae
The loading phase is extended, with injections given on alternate days until no further improvement is observed, which may take several weeks or months
Research Insight The benzyl alcohol contained in bacteriostatic water helps suppress bacterial growth after the vial has been opened, but it does not prevent peptide degradation