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If a household refrigerator is the only option, use a thermometer, keep the vial boxed, and avoid locations that freeze
It contains methylcobalamin (vitamin B12), pyridoxine (vitamin B6), niacinamide, and D-panthenol, which support the healthy functioning of the brain and nervous system, aid the formation of red blood cells, and help maintain healthy haemoglobin levels
Injections administered in NHS primary care settings do not typically incur prescription charges in England, though arrangements may vary
In the Phase 2 trial, participants who started directly at 4 mg (without the 2 mg titration period) experienced nearly double the rate of gastrointestinal adverse events compared to those who started at 2 mg (Jastreboff et al., NEJM 2023)
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