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The repulsion keeps them apart, prevents aggregation and gelling, and allows the powder to enter solution fully

For patients with neurological complications, more intensive treatment is required (1 mg on alternate days until no further improvement, followed by 1 mg every 2 months)

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only the number of syringe units needed to represent a given research amount changes

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