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Reconstitute full vial or transfer unused powder to new sterile vial immediately (difficult to do properly)

Intrinsic DILI is predictable and observed in preclinical studies 57, 58

However, you should: Call 999 or go to A&E immediately if you experience signs of a severe allergic reaction (difficulty breathing, severe throat/facial swelling, or collapse) Contact your GP if you experience a rash, itching, persistent pain at the injection site, or worsening neurological symptoms despite treatment If you suspect any side effects from your B12 injections, you can report them through the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk)

Each batch comes with a Certificate of Analysis (COA) for full transparency and quality assurance

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