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2 Additionally, increased dosing or length of therapy does not lead to a more severe eruption

Hydroxocobalamin 1mg is the standard UK formulation, typically administered every two to three months for maintenance therapy Self-administration requires GP prescription, competency training from practice nurses, and demonstration of proper injection technique Common injection sites include the thigh (vastus lateralis) for both intramuscular and subcutaneous administration with site rotation essential Serious side effects are rare but anaphylaxis requires immediate 999 call

- Liver enzymes if any preexisting liver concern, given the monkey toxicology signal

Do the same for the top of the vial of your vitamin B12 solution