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Unknown long-term profile: No human safety data, so caution and monitoring are advised

The surgical alterations permanently compromise b12 absorption through multiple mechanisms

Preventative measures before and during treatment Its not about taking care of your skin after the treatment, what you do before Botox is also important

The benzyl alcohol in bacteriostatic water inhibits bacterial growth, keeping the solution safe for multi-dose use over approximately 28 days

If a dose is missed, do not double the next dose

Local Guidelines If you have the time and energy, I think it's useful to find out what's in the local B12 deficiency guidelines for your ICB (Integrated Care Board) or Health Board