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If this test is positive then it means you definitely have Pernicious Anaemia and you will need to continue your injections every 3 months

This allows for multiple withdrawals from the same vial without the need for refrigeration

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Brief exposure during transport (up to 2 hours unrefrigerated) is generally acceptable, but repeated temperature cycling degrades stability and should be avoided

Possible side effects may include injection site discomfort, redness, swelling, dizziness, headache, nausea, or allergic reactions

Taking Neurobion Forte or similar products may provide some benefit if you have a mild deficiency