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This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation
These local effects typically resolve rapidly and rarely require intervention beyond injection site rotation
Data from the 2021 Nature Aging paper are particularly illuminating on this point
2008;31(7 Suppl):44-47
How should the reconstituted blend be stored
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