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Rotate Injection Sites (If Using Sub-Q/IM): To minimize discomfort or tissue irritation, switch between different sites (e.g., thighs, abdomen, upper arms)
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The theoretical synergies described are based on component mechanisms rather than validated combination studies
Food intake did not significantly change
your GP is the right person to manage this long term Any dose adjustments or route changes (for example, switching from oral to intramuscular if oral is not maintaining levels) become GP-led decisions I will provide your GP with a clear handover summarising your pre-operative B12 status, the supplementation used, and recommendations for ongoing monitoring
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