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This preparation is designed solely for parenteral use only after addition of solutions that require dilution or must be dissolved in an aqueous vehicle prior

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Conclusion Whilst severe B12 deficiency has a clear clinical picture with characteristic haematological and/or neurological features, establishing mild or borderline deficiency can be problematic as serum levels are maintained at the expense of tissue concentrations, and therefore serum levels of B12 may be in the low normal or borderline range despite a deficiency

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This stated that patients should undergo a telephone interview with their healthcare provider on the day of their appointment for their injection

doi: 10.1136/mp.54.5.311 H