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It introduces a vector that has been exposed to the air and potentially other surfaces

Why a normal or high total B12 can coexist with cellular deficiency Total B12 measures what is in the blood, not what has reached the cells, so a high or normal value does not rule out a functional shortfall

Chronic rhinitis

Small errors in preparation, storage, or administration can undermine an otherwise well-designed protocol

Disclose use to your GP or pharmacist without delay, and seek urgent medical attention via NHS 111 or 999 if you experience severe abdominal pain, persistent vomiting, dehydration, or symptoms of low blood sugar

Throw away any unused medicine after the beyond-use date