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Description
In another study 13 of patients with known pernicious anemia who had not received maintenance vitamin B 12 injections for months to years, the rise of methylmalonic acid and homocysteine levels was found to precede the decrease in serum vitamin B 12 and the decline in hematocrit

Syringes should be loaded immediately before injection rather than pre-filled and stored

Do not dispose in your household waste

Ensure the pharmacy is in-network with the patients plan or inform patients they may need to seek reimbursement if out-of-network
