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In summary, the reasons a GP surgery may refuse an early B12 injection are often rooted in a strict interpretation of established, but imperfect, guidelines, a misunderstanding of the actual science of B12 storage and metabolism, and a desire to maintain administrative consistency

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[2] Long-term follow-up: Once stable on maintenance therapy, routine blood monitoring is not usually necessary unless new symptoms develop

For example, hydroxocobalamin lasts longer, so its given less often

Once reconstituted, store the vial under refrigeration at 4 C (39 F)

Common side effects tend to be mild and transient