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Often, people need to come in for multiple treatments and maintenance
This often occurs in smokers, people with metabolic disease, heavy alcohol drinkers, as a side effect of certain prescription drugs, rheumatoid arthritis and impaired thyroid function
Your GP may arrange periodic blood tests to ensure B12 levels remain adequate, though clinical response is generally more important than specific blood values once treatment is established
A 4mg dose is 80 units instead of 40
Self-administration means you control timing and technique
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