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Prescribing decisions are made by physicians on an individual basis following a thorough clinical assessment of the patient's history, condition, imaging where relevant, and prior treatments

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Allow the vial and the bacteriostatic water to reach room temperature, swab both rubber stoppers with alcohol, then inject the diluent slowly down the inner glass wall rather than onto the lyophilised cake, and swirl gently until fully dissolved

Hydroxocobalamin lasts longer, meaning you might need fewer shots

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Heat and moisture accelerate peptide hydrolysis