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Always follow the documented dose for the specific vial being referenced, and for anything user-specific, run the numbers through the dosage calculator rather than improvising
The following may increase your risk of developing a vit B12 deficiency: High alcohol Gastritis Celiac disease Older age Crohns Vegan/Vegetarian diet Pernicious anaemia GI Surgery Pancreatic insufficiency pylori infection A full medical consultation and assessment will be carried out and referrals to other health professionals may sometimes be necessary prior to treatment
The pen ships sealed and pre-dosed

If needed, gently roll the vial between your palms