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In cases where contamination occurred due to poor technique, injection site reactions may also appear

Options include: Changing from one oral tablet formulation to another with different excipients Discussing sublingual preparations as an alternative (though evidence doesn't suggest superior absorption to oral tablets) For those on injections, checking the specific product's SmPC for excipient information In the UK, hydroxocobalamin injection is the licensed first-line treatment for B12 deficiency requiring parenteral therapy

Exact volumes should be calculated for each protocol our reconstitution calculator guide walks through the maths

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