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The stability problem is one reason why people in the UK are much better off with German hydroxocobalamin

Further information is available via NHS medicines information pages and NICE guidance at nice.org.uk

Self-prescribing or obtaining injections from unregulated sources carries significant risks , including receiving inappropriate treatment, masking underlying conditions, and exposure to contaminated or substandard products

Potential side effects could range from mild to severe, including allergic reactions, injection site complications, and systemic effects