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Suitability Shots are best for severe deficiencies/absorption issues

But the right dose and how often to give it depends on the patient

If glycine inclusion increases cost significantly, it is probably not worth the premium given the limited evidence for meaningful benefit at the doses used

Refrigeration slows this conversion, maintaining effective preservative concentration closer to the 0.9% starting level through the 28-day window

You should also contact your GP if: You are unable to attend scheduled maintenance injections, as missing doses can lead to symptom recurrence You develop new symptoms that might indicate other deficiencies or health problems You are planning pregnancy, as B12 requirements may change You experience persistent side effects such as headaches, dizziness, or gastrointestinal symptoms If you experience any side effects, talk to your doctor, pharmacist or nurse