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Solutions: Rotate injection sites more frequently Use new needle every time Clean site thoroughly with alcohol Let alcohol dry before injecting If persistent, reduce dose or switch to oral Usually harmless: Minor reactions common Should resolve within hours to days Not dangerous unless signs of infection (warmth, spreading redness, fever) No results after 4 weeks Problem: Not seeing expected healing or improvements

10.2174/13816128130105 27 DjakovicZ.DjakovicI.CesarecV.MadzaracG.BecejacT.ZukanovicG.et al (2016)

Muscle growth occurs when the synthesis of muscle proteins surpasses the rate at which muscle tissue breaks down

The course will explore the disease process of Pernicious Anaemia before discussing treatments and on-going management

Aim for adequate water intake throughout the day, with particular attention to morning hydration before fasting injection