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The uneducated clinicians will say, you dont have Intrinsic factor antibodies (IFA) so you dont have pernicious anaemia (PA) and so you will stay on tablets because we decided you can now miraculously absorb B12 from food! This ludicrous concept crops up frequently (I have blogged about it before here.) It needs repeating so often PA is just one of many causes and they are all serious and need correct treatment
Any of these should prompt discard, not a second attempt to dissolve by warming or vigorous mixing
Any cloudiness, discolouration, or particulate matter indicates denaturationdiscard the vial immediately
Semaglutide With B12: What It Is and Whether It Helps Semaglutide with B12 refers to compounded formulations that combine semaglutide with cyanocobalamin or methylcobalamin, two forms of vitamin B12, in a single injectable preparation
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