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This helps ensure maximum absorption of the B12 supplement

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Equipment Required Drawing-up needle: 18G or 21G a wider bore draws viscous oil from the ampoule or vial efficiently Injecting needle: 21G to 23G (length determined by your body composition your clinic nurse will advise) always change to a fresh needle after drawing up Luer-lock syringe (1 ml or 2 ml as appropriate) the locking fitting prevents the needle detaching under oil pressure Sterile alcohol swabs Sterile cotton ball or gauze Approved yellow-lidded sharps bin (BS EN ISO 23907) Clean, flat surface wiped with an alcohol swab before use Inspect the ampoule or vial before every injection

There is a possibility that when this condition is undiagnosed, it could sooner or later lead to chronic kidney disease in some patients on Nexium prescription

What is the management approach for suspected vitamin B12 toxicity?

6 Reduced levels of B12 and folate compromise the bodys ability to convert homocysteine to methionine, leading to elevated homocysteine