An Insulin or Mixing Syringe: You'll need a sterile syringe, typically 1mL (100 units), to accurately measure and transfer the bacteriostatic water
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Patients and clinicians should verify the current status with the MHRA and EMA, as the regulatory position may change
A check for IF antibodies, homocysteine and MMA in the urine can thus indicate whether the high values of B12 have been mistakenly produced
Oral B12 supplementation (1,000-2,000 mcg daily sublingual methylcobalamin) can replicate the B12 component of MIC injections and is effective for most patients without malabsorption issues
The combined effect: a bottle that should be good for 28 days can be unsafe at day 10 if multiple failure modes stack