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Based on UK guidelines and common practice, a GP surgery may refuse to give a B12 injection a day earlier than scheduled for a patient with Pernicious Anemia for a few key reasons: Clinical Guidelines and Protocols Standard Treatment Schedules: The NHS and professional bodies like the British Society of Haematology have established guidelines for B12 injections for Pernicious Anemia
Importantly, the various diets contained identical fiber and protein content and varied primarily by the percentage of fat- and carbohydrate-derived kilocalories
The B12 in your compounded formulation should keep serum B12 levels adequate in most cases, but "most cases" is not "all cases." Verify with bloodwork rather than assuming
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Rotate sites with each dose to reduce local lipoatrophy or injection-site nodules
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