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Although a severe shortage may result in irreversible brain damage, initial signs are modest or asymptomatic
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If a '50mg' vial actually contains 53mg and you add 2mL bacteriostatic water, your true concentration is 53 2 = 26.5mg/mL
Here is a revised and more accurate explanation of the reasons a UK GP surgery might refuse to give a B12 injection a day earlier than scheduled, incorporating the points youve raised and providing a more scientifically grounded perspective: 1
